FREDERICK J MECCIA Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****52

License Status

NOT RENEWED

Business

First Name

FREDERICK J

Last Name

MECCIA

Business Name

FREDERICK J MECCIA

Original Issue Date

10/13/1989

Effective Date

02/04/2019

Expiration Date

01/31/2021

City

VALPARAISO

State

Zip

46385

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/11/2021