DOUGLAS JOSEPH PACACCIO DPM Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****72

License Status

NOT RENEWED

Business

Title

DPM

First Name

DOUGLAS

Middle

JOSEPH

Last Name

PACACCIO

Business Name

DOUGLAS JOSEPH PACACCIO DPM

Original Issue Date

11/05/2007

Effective Date

12/19/2008

Expiration Date

01/31/2011

City

SYCAMORE

State

Zip

60178

County

DEKALB

Specialty/Qualifier

HOSPITAL/CLINIC

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/10/2011