JIM P LICANDRO Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016004870

License Status

NOT RENEWED

Business

First Name

JIM

Middle

Last Name

LICANDRO

Business Name

JIM P LICANDRO

Original Issue Date

06/22/1998

Effective Date

01/18/2011

Expiration Date

01/31/2013

City

CHICAGO

State

Zip

60606

County

COOK

Ever Disciplined

LastModifiedDate

05/15/2015