SUSAN LYNN KAPUSTKA Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016003622

License Status

NOT RENEWED

Business

First Name

SUSAN LYNN

Last Name

KAPUSTKA

Business Name

SUSAN LYNN KAPUSTKA

Original Issue Date

07/22/1983

Effective Date

01/06/2021

Expiration Date

01/31/2023

City

LAKEWOOD

State

Zip

60014

County

MCHENRY

Ever Disciplined

LastModifiedDate

03/31/2023