BROOKE KELLEY STOUGH DPM Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016005412

License Status

NOT RENEWED

Business

First Name

BROOKE

Middle

KELLEY

Last Name

STOUGH

Suffix

DPM

Business Name

BROOKE KELLEY STOUGH DPM

Original Issue Date

07/01/2009

Effective Date

12/07/2010

Expiration Date

01/31/2013

City

CHICAGO

State

Zip

60605

County

COOK

Ever Disciplined

LastModifiedDate

03/20/2013