MARY CAROLINE STANCUKAS Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****36

License Status

NOT RENEWED

Business

First Name

MARY

Middle

CAROLINE

Last Name

STANCUKAS

Business Name

MARY CAROLINE STANCUKAS

Original Issue Date

07/21/2015

Effective Date

12/09/2016

Expiration Date

01/31/2019

City

MORRIS

State

Zip

60450

County

LEE

Controlled Substance Schedule

II III IV

Ever Disciplined

LastModifiedDate

03/28/2019