FRED STULP MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036044301

License Status

NOT RENEWED

Business

First Name

FRED

Last Name

STULP

Suffix

Business Name

FRED STULP MD

Original Issue Date

06/22/1971

Effective Date

08/02/2017

Expiration Date

09/30/2020

City

WILMETTE

State

Zip

60091

County

COOK

Ever Disciplined

LastModifiedDate

01/14/2021