JACOB A PANICI DPM Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016005580

License Status

NOT RENEWED

Business

Title

DPM

First Name

JACOB

Middle

Last Name

PANICI

Business Name

JACOB A PANICI DPM

Original Issue Date

07/02/2013

Effective Date

12/08/2014

Expiration Date

01/31/2017

City

ZION

State

Zip

60099

County

LAKE

Ever Disciplined

LastModifiedDate

03/27/2017