DOMINIC A ANDRIACCHI DPM Podiatrist License verification

Business Entity

EXPIRED

License Type

Podiatrist

Description

TEMPORARY PODIATRIC PHYSICIAN

License Number

135000102

License Status

EXPIRED

Business

First Name

DOMINIC

Middle

Last Name

ANDRIACCHI

Suffix

DPM

Business Name

DOMINIC A ANDRIACCHI DPM

Original Issue Date

07/08/1988

Effective Date

07/08/1988

Expiration Date

08/01/1989

City

OAK LAWN

State

Zip

60453

Ever Disciplined

LastModifiedDate

09/25/2006