STEPHEN J STEPANEK DPM Podiatrist License verification

Business Entity

INACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016003087

License Status

INACTIVE

Business

First Name

STEPHEN

Middle

Last Name

STEPANEK

Suffix

DPM

Business Name

STEPHEN J STEPANEK DPM

Original Issue Date

06/27/1979

Effective Date

01/31/2005

Expiration Date

01/31/2007

City

OSWEGO

State

Zip

60543

County

KENDALL

Ever Disciplined

LastModifiedDate

11/21/2006