SALVATORE JOSEPH DECOLA Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016002328

License Status

NOT RENEWED

Business

First Name

SALVATORE JOSEPH

Last Name

DECOLA

Business Name

SALVATORE JOSEPH DECOLA

Original Issue Date

07/22/1958

Effective Date

07/22/1958

Expiration Date

01/31/2003

City

BERWYN

State

Zip

60402

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006