VINCENT JOHN STASCHIAK DPM Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016005252

License Status

NOT RENEWED

Business

Title

DPM

First Name

VINCENT

Middle

JOHN

Last Name

STASCHIAK

Business Name

VINCENT JOHN STASCHIAK DPM

Original Issue Date

07/22/2005

Effective Date

01/31/2005

Expiration Date

01/31/2007

City

PIEDMONT

State

Zip

57769

County

SOUTH DAKOTA

Ever Disciplined

LastModifiedDate

05/10/2007