ROBERT D MATTEUCCI DPM Podiatrist License verification

Business Entity

EXPIRED

License Type

Podiatrist

Description

TEMPORARY PODIATRIC PHYSICIAN

License Number

135000501

License Status

EXPIRED

Business

First Name

ROBERT

Middle

Last Name

MATTEUCCI

Suffix

DPM

Business Name

ROBERT D MATTEUCCI DPM

Original Issue Date

06/06/2002

Effective Date

06/06/2002

Expiration Date

06/30/2004

City

KENOSHA

State

Zip

53143

County

WISCONSIN

Ever Disciplined

LastModifiedDate

09/25/2006