THADDEUS F RADZIWIECKI DPM Podiatrist License verification

Business Entity

INACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016003965

License Status

INACTIVE

Business

First Name

THADDEUS F

Last Name

RADZIWIECKI

Suffix

DPM

Business Name

THADDEUS F RADZIWIECKI DPM

Original Issue Date

07/01/1986

Effective Date

07/01/1986

Expiration Date

01/31/1989

City

EAST CHICAGO

State

Zip

46312

County

INDIANA

Ever Disciplined

LastModifiedDate

09/25/2006