DOMINIC A ANDRIACCHI DPM Podiatrist License verification

Business Entity

ACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****96

License Status

ACTIVE

Business

First Name

DOMINIC

Middle

Last Name

ANDRIACCHI

Suffix

DPM

Business Name

DOMINIC A ANDRIACCHI DPM

Original Issue Date

12/12/1988

Effective Date

01/14/2025

Expiration Date

01/31/2027

City

CHICAGO RIDGE

State

Zip

60415

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/16/2025