STANLEY FAHLSTROM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036016522

License Status

NOT RENEWED

Business

First Name

STANLEY

Last Name

FAHLSTROM

Suffix

Business Name

STANLEY FAHLSTROM MD

Original Issue Date

06/28/1926

Effective Date

06/28/1926

City

CHICAGO

State

Zip

60603

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006