STANLEY J REBACZ JR - Podiatrist License in Illinois | # 016002366

STANLEY J REBACZ JR

Business Entity

INACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016002366

License Status

INACTIVE

Business

N

First Name

STANLEY J

Last Name

REBACZ JR

Business Name

STANLEY J REBACZ JR

Original Issue Date

07/20/1959

Effective Date

01/31/2005

Expiration Date

01/31/2007

State

IL

Ever Disciplined

N

LastModifiedDate

11/21/2006