PAUL ROBERT FISCELLA Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****81

License Status

NOT RENEWED

Business

First Name

PAUL ROBERT

Last Name

FISCELLA

Business Name

PAUL ROBERT FISCELLA

Original Issue Date

06/25/1981

Effective Date

06/25/1981

Expiration Date

01/31/2001

City

OAK LAWN

State

Zip

60453

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006