STEPHEN J STEPANEK DPM Podiatrist License verification

Business Entity

CANCELLED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****23

License Status

CANCELLED

Business

First Name

STEPHEN

Middle

Last Name

STEPANEK

Suffix

DPM

Business Name

STEPHEN J STEPANEK DPM

Original Issue Date

09/07/2004

Effective Date

09/07/2004

Expiration Date

01/31/2007

City

OSWEGO

State

Zip

60543

County

KENDALL

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/21/2006