LISA GARCIA REINICKE DPM Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****65

License Status

NOT RENEWED

Business

First Name

LISA

Middle

GARCIA

Last Name

REINICKE

Suffix

DPM

Business Name

LISA GARCIA REINICKE DPM

Original Issue Date

03/23/2010

Effective Date

11/19/2018

Expiration Date

01/31/2021

City

ROSCOE

State

Zip

61073

County

WINNEBAGO

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/11/2021