STACY ELIZABETH ILES Podiatrist License verification

Business Entity

ACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****14

License Status

ACTIVE

Business

First Name

STACY

Middle

ELIZABETH

Last Name

ILES

Business Name

STACY ELIZABETH ILES

Original Issue Date

02/21/2025

Effective Date

02/21/2025

Expiration Date

01/31/2027

City

MUNDELEIN

State

Zip

60060

County

LAKE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/21/2025