MARTIN IRWIN STOLLER Podiatrist License verification

Business Entity

INACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016002723

License Status

INACTIVE

Business

First Name

MARTIN IRWIN

Last Name

STOLLER

Business Name

MARTIN IRWIN STOLLER

Original Issue Date

06/29/1972

Effective Date

06/29/1972

Expiration Date

01/31/1987

City

ELGIN

State

Zip

60120

County

KANE

Ever Disciplined

LastModifiedDate

09/25/2006