REBECCA DANIELLE STACK Podiatrist License verification

Business Entity

ACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016005891

License Status

ACTIVE

Business

First Name

REBECCA

Middle

DANIELLE

Last Name

STACK

Business Name

REBECCA DANIELLE STACK

Original Issue Date

06/18/2020

Effective Date

12/28/2024

Expiration Date

01/31/2027

City

CARY

State

Zip

60013

Ever Disciplined

LastModifiedDate

02/26/2025