JIM P LICANDRO Podiatrist License verification

Business Entity

EXPIRED

License Type

Podiatrist

Description

TEMPORARY PODIATRIC PHYSICIAN

License Number

135000358

License Status

EXPIRED

Business

First Name

JIM

Middle

Last Name

LICANDRO

Business Name

JIM P LICANDRO

Original Issue Date

07/17/1997

Effective Date

07/17/1997

Expiration Date

06/30/1998

City

AURORA

State

Zip

60504

County

IOWA

Ever Disciplined

LastModifiedDate

09/13/2007