MICHAEL MUSCATELLA DPM Podiatrist License verification

Business Entity

ACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016004109

License Status

ACTIVE

Business

First Name

MICHAEL

Last Name

MUSCATELLA

Suffix

DPM

Business Name

MICHAEL MUSCATELLA DPM

Original Issue Date

06/27/1987

Effective Date

12/13/2024

Expiration Date

01/31/2027

City

CHAMPAIGN

State

Zip

61822

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

02/26/2025