STEPHEN A BOPPART - Medical Doctor License in Illinois | # 125040722

STEPHEN A BOPPART

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125040722

License Status

EXPIRED

Business

N

First Name

STEPHEN

Middle

A

Last Name

BOPPART

Business Name

STEPHEN A BOPPART

Original Issue Date

07/01/2000

Effective Date

07/01/2000

Expiration Date

06/30/2005

State

IL

Specialty/Qualifier

Internal Medicine

Ever Disciplined

N

LastModifiedDate

09/22/2006