MICHAEL FRACASSA DPM Podiatrist License verification

Business Entity

INACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016003765

License Status

INACTIVE

Business

First Name

MICHAEL

Last Name

FRACASSA

Suffix

DPM

Business Name

MICHAEL FRACASSA DPM

Original Issue Date

08/10/1984

Effective Date

08/10/1984

Expiration Date

01/31/1985

City

COLUMBUS

State

Zip

43221

County

OHIO

Ever Disciplined

LastModifiedDate

09/25/2006