ALAN STACK Podiatrist License verification

Business Entity

INACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016003037

License Status

INACTIVE

Business

First Name

ALAN

Last Name

STACK

Business Name

ALAN STACK

Original Issue Date

06/28/1978

Effective Date

06/28/1978

Expiration Date

01/31/1985

City

CROWN POINT

State

Zip

46307

County

INDIANA

Ever Disciplined

LastModifiedDate

09/25/2006