STACEY A KINDIG Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****90

License Status

NOT RENEWED

Business

First Name

STACEY A

Last Name

KINDIG

Business Name

STACEY A KINDIG

Original Issue Date

06/20/1991

Effective Date

06/20/1991

Expiration Date

01/31/1993

City

CHICAGO

State

Zip

60614

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/25/2006