STEPHEN PROFECK MD Athletics Professional License verification

Business Entity

NOT RENEWED

License Type

Athletics Professional

Description

ATHLETICS - LICENSED PHYSICIAN

License Number

002020153-0002

License Status

NOT RENEWED

Business

First Name

STEPHEN

Last Name

PROFECK

Suffix

Business Name

STEPHEN PROFECK MD

Original Issue Date

04/23/1975

Effective Date

04/23/1975

Expiration Date

04/23/1976

City

WOODSTOCK

State

Zip

60098

County

MCHENRY

Ever Disciplined

LastModifiedDate

09/18/2006