ALICIA MARTIN LANZITO DPM Podiatrist License verification

Business Entity

EXPIRED

License Type

Podiatrist

Description

TEMPORARY PODIATRIC PHYSICIAN

License Number

135000632

License Status

EXPIRED

Business

First Name

ALICIA

Middle

MARTIN

Last Name

LANZITO

Suffix

DPM

Business Name

ALICIA MARTIN LANZITO DPM

Original Issue Date

06/26/2007

Effective Date

07/01/2007

Expiration Date

06/30/2009

City

LAKE GENEVA

State

Zip

53147

Ever Disciplined

LastModifiedDate

07/01/2009