STACY A RESNICK Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****04

License Status

NOT RENEWED

Business

First Name

STACY A

Last Name

RESNICK

Business Name

STACY A RESNICK

Original Issue Date

07/02/1993

Effective Date

07/02/1993

Expiration Date

01/31/1995

City

CHICAGO

State

Zip

60657

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/25/2006