MICHAEL MUSACCHIO Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016002012

License Status

NOT RENEWED

Business

First Name

MICHAEL

Last Name

MUSACCHIO

Business Name

MICHAEL MUSACCHIO

Original Issue Date

12/18/1950

Effective Date

12/18/1950

Expiration Date

07/01/1982

City

OWENSBORO

State

Zip

42301

County

KENTUCKY

Ever Disciplined

LastModifiedDate

09/25/2006