HENRY COLBURN STEVENSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036053035

License Status

NOT RENEWED

Business

First Name

HENRY COLBURN

Last Name

STEVENSON

Suffix

Business Name

HENRY COLBURN STEVENSON MD

Original Issue Date

07/15/1976

Effective Date

07/15/1976

City

CHICAGO

State

Zip

60616

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006