STEPHEN G HEBENSTREIT DPM Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****46

License Status

NOT RENEWED

Business

First Name

STEPHEN G

Last Name

HEBENSTREIT

Suffix

DPM

Business Name

STEPHEN G HEBENSTREIT DPM

Original Issue Date

07/11/1997

Effective Date

07/11/1997

Expiration Date

01/31/1999

City

MATTOON

State

Zip

61938

County

COLES

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/25/2006