BROOKE KELLEY STOUGH DPM Podiatrist License verification

Business Entity

EXPIRED

License Type

Podiatrist

Description

TEMPORARY PODIATRIC PHYSICIAN

License Number

135000651

License Status

EXPIRED

Business

First Name

BROOKE

Middle

KELLEY

Last Name

STOUGH

Suffix

DPM

Business Name

BROOKE KELLEY STOUGH DPM

Original Issue Date

06/27/2008

Effective Date

06/27/2008

Expiration Date

06/27/2009

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

07/01/2009