JACOB A PANICI DPM Podiatrist License verification

Business Entity

EXPIRED

License Type

Podiatrist

Description

TEMPORARY PODIATRIC PHYSICIAN

License Number

135000789

License Status

EXPIRED

Business

Title

DPM

First Name

JACOB

Middle

Last Name

PANICI

Business Name

JACOB A PANICI DPM

Original Issue Date

07/12/2012

Effective Date

07/12/2012

Expiration Date

06/30/2013

City

CHICAGO

State

Zip

62665

County

MORGAN

Ever Disciplined

LastModifiedDate

10/07/2013