BRUCE JONATHAN BRINCKO DPM Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016003341

License Status

NOT RENEWED

Business

First Name

BRUCE

Middle

JONATHAN

Last Name

BRINCKO

Suffix

DPM

Business Name

BRUCE JONATHAN BRINCKO DPM

Original Issue Date

06/17/1982

Effective Date

02/02/2021

Expiration Date

01/31/2023

City

VALPARAISO

State

Zip

46385

Ever Disciplined

LastModifiedDate

03/31/2023