WILLIAM ALVIN STALLWORTH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036056178

License Status

NOT RENEWED

Business

First Name

WILLIAM ALVIN

Last Name

STALLWORTH

Suffix

Business Name

WILLIAM ALVIN STALLWORTH MD

Original Issue Date

12/16/1977

Effective Date

12/16/1977

Expiration Date

07/31/1996

City

CHICAGO

State

Zip

60643

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006