KENNETH S STONE DPM Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****57

License Status

NOT RENEWED

Business

First Name

KENNETH S

Last Name

STONE

Suffix

DPM

Business Name

KENNETH S STONE DPM

Original Issue Date

07/17/1987

Effective Date

01/02/2015

Expiration Date

01/31/2017

City

FREEPORT

State

Zip

61032

County

STEPHENSON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/27/2017