STEPHANIE ELLIS SPICER Podiatrist License verification

Business Entity

ACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****98

License Status

ACTIVE

Business

First Name

STEPHANIE

Middle

ELLIS

Last Name

SPICER

Business Name

STEPHANIE ELLIS SPICER

Original Issue Date

08/11/1994

Effective Date

01/02/2025

Expiration Date

01/31/2027

City

OLYMPIA FIELDS

State

Zip

60461

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/16/2025