MARY CAROLINE STANCUKAS Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

TEMPORARY PODIATRIC PHYSICIAN

License Number

135000840

License Status

NOT RENEWED

Business

First Name

MARY

Middle

CAROLINE

Last Name

STANCUKAS

Business Name

MARY CAROLINE STANCUKAS

Original Issue Date

06/16/2014

Effective Date

07/01/2014

Expiration Date

06/30/2015

City

DIXON

State

Zip

61021

County

LEE

Ever Disciplined

LastModifiedDate

01/07/2016