JACOB R RANDICH DPM Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016005962

License Status

NOT RENEWED

Business

Title

DPM

First Name

JACOB

Middle

Last Name

RANDICH

Business Name

JACOB R RANDICH DPM

Original Issue Date

11/30/2021

Effective Date

11/30/2021

Expiration Date

01/31/2023

City

HAMPSHIRE

State

Zip

60140

Ever Disciplined

LastModifiedDate

03/31/2023