MICHELE LYNN STAWINOGA DPM Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****27

License Status

NOT RENEWED

Business

First Name

MICHELE LYNN

Last Name

STAWINOGA

Suffix

DPM

Business Name

MICHELE LYNN STAWINOGA DPM

Original Issue Date

08/16/1994

Effective Date

08/16/1994

Expiration Date

01/31/1997

City

CARPENTERSVILLE

State

Zip

60110

County

KANE

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

09/25/2006