STEPHANIE A BOOTH - Medical Doctor License in Illinois | # 125041394

STEPHANIE A BOOTH

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125041394

License Status

EXPIRED

Business

N

First Name

STEPHANIE

Middle

A

Last Name

BOOTH

Business Name

STEPHANIE A BOOTH

Original Issue Date

06/20/2000

Effective Date

06/20/2000

Expiration Date

06/30/2005

State

IL

Specialty/Qualifier

Rheumatology

Ever Disciplined

N

LastModifiedDate

09/22/2006