JOSEPH S MICELI Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****59

License Status

NOT RENEWED

Business

First Name

JOSEPH S

Last Name

MICELI

Business Name

JOSEPH S MICELI

Original Issue Date

07/11/1984

Effective Date

07/11/1984

Expiration Date

01/31/1987

City

CHICAGO

State

Zip

60614

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/25/2006