PHILLIP D DECUBELLIS DPM Podiatrist License verification

Business Entity

INACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016004213

License Status

INACTIVE

Business

First Name

PHILLIP D

Last Name

DECUBELLIS

Suffix

DPM

Business Name

PHILLIP D DECUBELLIS DPM

Original Issue Date

12/22/1987

Effective Date

01/21/2009

Expiration Date

01/31/2011

City

FORT LAUDERDALE

State

Zip

33308

County

FLORIDA

Ever Disciplined

LastModifiedDate

11/03/2010