STEPHANIE ELLIS SPICER Podiatrist License verification

Business Entity

ACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016004673

License Status

ACTIVE

Business

First Name

STEPHANIE

Middle

ELLIS

Last Name

SPICER

Business Name

STEPHANIE ELLIS SPICER

Original Issue Date

06/28/1993

Effective Date

01/02/2025

Expiration Date

01/31/2027

City

OLYMPIA FIELDS

State

Zip

60461

County

COOK

Ever Disciplined

LastModifiedDate

02/26/2025