GLENN R STOCKBRIDGE Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****99

License Status

NOT RENEWED

Business

First Name

GLENN R

Last Name

STOCKBRIDGE

Business Name

GLENN R STOCKBRIDGE

Original Issue Date

07/20/1990

Effective Date

07/20/1990

Expiration Date

01/31/1993

City

CHICAGO

State

Zip

60657

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/25/2006