PAUL PHILLIP STEPANCZUK Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****20

License Status

NOT RENEWED

Business

First Name

PAUL PHILLIP

Last Name

STEPANCZUK

Business Name

PAUL PHILLIP STEPANCZUK

Original Issue Date

01/01/1998

Effective Date

01/30/2017

Expiration Date

01/31/2019

City

TINLEY PARK

State

Zip

60477

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/28/2019