STANLEY J REBACZ JR Podiatrist License verification

Business Entity

CANCELLED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****05

License Status

CANCELLED

Business

First Name

STANLEY J

Last Name

REBACZ JR

Business Name

STANLEY J REBACZ JR

Original Issue Date

01/01/1998

Expiration Date

01/31/2007

City

CHICAGO

State

Zip

60630

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/21/2006