DOUGLAS JOSEPH PACACCIO DPM Podiatrist License verification

Business Entity

ACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****79

License Status

ACTIVE

Business

Title

DPM

First Name

DOUGLAS

Middle

JOSEPH

Last Name

PACACCIO

Business Name

DOUGLAS JOSEPH PACACCIO DPM

Original Issue Date

06/22/2010

Effective Date

12/12/2024

Expiration Date

01/31/2027

City

ROCKFORD

State

Zip

61114

County

WINNEBAGO

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/16/2025