LEWIS P CARROZZA Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016002973

License Status

NOT RENEWED

Business

First Name

LEWIS P

Last Name

CARROZZA

Business Name

LEWIS P CARROZZA

Original Issue Date

11/30/1977

Effective Date

01/14/2019

Expiration Date

01/31/2021

City

MIDLOTHIAN

State

Zip

60445

County

COOK

Ever Disciplined

LastModifiedDate

03/11/2021