JEANNA M FASCIONE DPM Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016005490

License Status

NOT RENEWED

Business

Title

DPM

First Name

JEANNA

Middle

Last Name

FASCIONE

Business Name

JEANNA M FASCIONE DPM

Original Issue Date

07/05/2011

Effective Date

01/15/2019

Expiration Date

01/31/2021

City

WOOSTER

State

Zip

44691

County

OHIO

Ever Disciplined

LastModifiedDate

03/11/2021