GLENN R STOCKBRIDGE Podiatrist License verification

Business Entity

INACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016004417

License Status

INACTIVE

Business

First Name

GLENN R

Last Name

STOCKBRIDGE

Business Name

GLENN R STOCKBRIDGE

Original Issue Date

06/01/1990

Effective Date

06/01/1990

Expiration Date

01/31/1993

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

09/25/2006