NICHOLAS J BEVILACQUA DPM Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016005285

License Status

NOT RENEWED

Business

First Name

NICHOLAS

Middle

Last Name

BEVILACQUA

Suffix

DPM

Business Name

NICHOLAS J BEVILACQUA DPM

Original Issue Date

06/09/2006

Effective Date

02/01/2007

Expiration Date

01/31/2009

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

03/17/2009