BRIAN H STEPHENSON Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****21

License Status

NOT RENEWED

Business

First Name

BRIAN H

Last Name

STEPHENSON

Business Name

BRIAN H STEPHENSON

Original Issue Date

06/18/1985

Effective Date

06/18/1985

Expiration Date

01/31/1989

City

GLENDALE HEIGHTS

State

Zip

60139

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/25/2006