LISA GARCIA REINICKE DPM Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016005435

License Status

NOT RENEWED

Business

First Name

LISA

Middle

GARCIA

Last Name

REINICKE

Suffix

DPM

Business Name

LISA GARCIA REINICKE DPM

Original Issue Date

03/23/2010

Effective Date

11/19/2018

Expiration Date

01/31/2021

City

ROSCOE

State

Zip

61073

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

03/11/2021