MARY CAROLINE STANCUKAS Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016005667

License Status

NOT RENEWED

Business

First Name

MARY

Middle

CAROLINE

Last Name

STANCUKAS

Business Name

MARY CAROLINE STANCUKAS

Original Issue Date

07/01/2015

Effective Date

12/09/2016

Expiration Date

01/31/2019

City

MORRIS

State

Zip

60450

County

LEE

Ever Disciplined

LastModifiedDate

03/28/2019