ERNEST PAUL LUCZKOWSKI DPM Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016005745

License Status

NOT RENEWED

Business

Title

DPM

First Name

ERNEST

Middle

PAUL

Last Name

LUCZKOWSKI

Business Name

ERNEST PAUL LUCZKOWSKI DPM

Original Issue Date

12/06/2016

Effective Date

01/03/2019

Expiration Date

01/31/2021

City

GENOA CITY

State

Zip

53128

Ever Disciplined

LastModifiedDate

03/11/2021