STACEY L OAKS DPM Podiatrist License verification

Business Entity

EXPIRED

License Type

Podiatrist

Description

TEMPORARY PODIATRIC PHYSICIAN

License Number

135000563

License Status

EXPIRED

Business

First Name

STACEY

Middle

Last Name

OAKS

Suffix

DPM

Business Name

STACEY L OAKS DPM

Original Issue Date

08/01/2005

Effective Date

08/01/2005

Expiration Date

06/30/2006

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

09/25/2006