STANLEY J REBACZ JR Podiatrist License verification

Business Entity

INACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016002366

License Status

INACTIVE

Business

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

City

CHICAGO

State

Zip

60630

County

COOK

Ever Disciplined

LastModifiedDate

11/21/2006