BARRY MITCHELL STORTER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036042458

License Status

NOT RENEWED

Business

First Name

BARRY MITCHELL

Last Name

STORTER

Suffix

Business Name

BARRY MITCHELL STORTER MD

Original Issue Date

04/14/1969

Effective Date

04/14/1969

Expiration Date

07/31/1984

City

LIBERTYVILLE

State

Zip

60048

County

LAKE

Ever Disciplined

LastModifiedDate

09/20/2006