PAUL PHILLIP STEPANCZUK Podiatrist License verification

Business Entity

INACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016003079

License Status

INACTIVE

Business

First Name

PAUL PHILLIP

Last Name

STEPANCZUK

Business Name

PAUL PHILLIP STEPANCZUK

Original Issue Date

06/27/1979

Effective Date

01/30/2017

Expiration Date

01/31/2019

City

TINLEY PARK

State

Zip

60477

County

COOK

Ever Disciplined

LastModifiedDate

11/14/2018