RICHARD J TRACZYK PM Podiatrist License verification

Business Entity

EXPIRED

License Type

Podiatrist

Description

TEMPORARY PODIATRIC PHYSICIAN

License Number

135000312

License Status

EXPIRED

Business

First Name

RICHARD

Middle

Last Name

TRACZYK

Suffix

II DPM

Business Name

RICHARD J TRACZYK PM

Original Issue Date

07/22/1996

Effective Date

07/22/1996

Expiration Date

06/30/1997

City

HARVARD

State

Zip

60033

County

MCHENRY

Ever Disciplined

LastModifiedDate

09/25/2006