MARK J SPACCAPANICCIA Podiatrist License verification

Business Entity

ACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****74

License Status

ACTIVE

Business

First Name

MARK J

Last Name

SPACCAPANICCIA

Business Name

MARK J SPACCAPANICCIA

Original Issue Date

07/07/1982

Effective Date

12/06/2024

Expiration Date

01/31/2027

City

LOMBARD

State

Zip

60148

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/06/2024