STEPHEN A COULSON MD - Medical Doctor License in Illinois | # 125034682

STEPHEN A COULSON MD

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125034682

License Status

EXPIRED

Business

N

First Name

STEPHEN

Middle

A

Last Name

COULSON

Suffix

MD

Business Name

STEPHEN A COULSON MD

Original Issue Date

05/23/1996

Effective Date

05/23/1996

Expiration Date

06/30/1999

State

IL

Specialty/Qualifier

Internal Medicine

Ever Disciplined

N

LastModifiedDate

09/22/2006