STACY LYNN WITFILL Podiatrist License verification

Business Entity

EXPIRED

License Type

Podiatrist

Description

TEMPORARY PODIATRIC PHYSICIAN

License Number

135000301

License Status

EXPIRED

Business

First Name

STACY LYNN

Last Name

WITFILL

Business Name

STACY LYNN WITFILL

Original Issue Date

06/29/1996

Effective Date

06/29/1996

Expiration Date

06/30/1998

City

CHICAGO

State

Zip

60610

County

COOK

Ever Disciplined

LastModifiedDate

09/25/2006