GLENN R STOCKBRIDGE - Podiatrist License in Illinois | # 016004417

GLENN R STOCKBRIDGE

Business Entity

INACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016004417

License Status

INACTIVE

Business

N

First Name

GLENN R

Last Name

STOCKBRIDGE

Business Name

GLENN R STOCKBRIDGE

Original Issue Date

06/01/1990

Effective Date

06/01/1990

Expiration Date

01/31/1993

State

IL

Ever Disciplined

N

LastModifiedDate

09/25/2006