ALAN STACK Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****83

License Status

NOT RENEWED

Business

First Name

ALAN

Last Name

STACK

Business Name

ALAN STACK

Original Issue Date

01/01/1998

Expiration Date

09/01/1982

City

PAXTON

State

Zip

60957

County

FORD

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/25/2006