JEFFREY P. PANTANO Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016005773

License Status

NOT RENEWED

Business

First Name

JEFFREY

Middle

Last Name

PANTANO

Business Name

JEFFREY P. PANTANO

Original Issue Date

11/22/2017

Effective Date

01/29/2019

Expiration Date

01/31/2021

City

BENNINGTON

State

Zip

05201

Ever Disciplined

LastModifiedDate

03/11/2021