VINCENT GIANNI VACKETTA Podiatrist License verification

Business Entity

ACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016006029

License Status

ACTIVE

Business

First Name

VINCENT

Middle

GIANNI

Last Name

VACKETTA

Business Name

VINCENT GIANNI VACKETTA

Original Issue Date

06/29/2023

Effective Date

12/23/2024

Expiration Date

01/31/2027

City

PEORIA

State

Zip

61614

County

PEORIA

Ever Disciplined

LastModifiedDate

12/23/2024