STUART PEISS DPM - Podiatrist License in Illinois | # 016004762

STUART PEISS DPM

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016004762

License Status

NOT RENEWED

Business

N

First Name

STUART

Last Name

PEISS

Suffix

DPM

Business Name

STUART PEISS DPM

Original Issue Date

02/22/1996

Effective Date

01/02/2019

Expiration Date

01/31/2021

State

IL

Ever Disciplined

Y

LastModifiedDate

03/11/2021

Case Number

2004005573

Action

Probation

Discipline Start Date

07/14/2006

Discipline End Date

07/13/2008