ROBERT D MATTEUCCI DPM Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016005168

License Status

NOT RENEWED

Business

First Name

ROBERT

Middle

Last Name

MATTEUCCI

Suffix

DPM

Business Name

ROBERT D MATTEUCCI DPM

Original Issue Date

02/17/2004

Effective Date

06/29/2009

Expiration Date

01/31/2011

City

KENOSHA

State

Zip

53143

County

WISCONSIN

Ever Disciplined

LastModifiedDate

03/10/2011