GERALD ANTHONY GORECKI Podiatrist License verification

Business Entity

CANCELLED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****28

License Status

CANCELLED

Business

First Name

GERALD ANTHONY

Last Name

GORECKI

Business Name

GERALD ANTHONY GORECKI

Original Issue Date

01/01/1998

Expiration Date

09/01/1982

City

WEST HAVEN

State

Zip

06516

County

CONNECTICUT

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/25/2006