STEPHEN R AMESBURY MD - Medical Doctor License in Illinois | # 125021154

STEPHEN R AMESBURY MD

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125021154

License Status

EXPIRED

Business

N

First Name

STEPHEN R

Last Name

AMESBURY

Suffix

MD

Business Name

STEPHEN R AMESBURY MD

Original Issue Date

06/06/1987

Effective Date

06/06/1987

Expiration Date

07/01/1990

State

IL

Specialty/Qualifier

Internal Medicine

Ever Disciplined

N

LastModifiedDate

09/22/2006