STANLEY WAYNE BLONDEK - Podiatrist License in Illinois | # 016003439

STANLEY WAYNE BLONDEK

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016003439

License Status

NOT RENEWED

Business

N

First Name

STANLEY WAYNE

Last Name

BLONDEK

Business Name

STANLEY WAYNE BLONDEK

Original Issue Date

10/28/1982

Effective Date

10/28/1982

Expiration Date

01/31/1991

State

IL

Ever Disciplined

N

LastModifiedDate

09/25/2006