STEPHEN PUNTENNE SMITH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036056710

License Status

NOT RENEWED

Business

First Name

STEPHEN PUNTENNE

Last Name

SMITH

Suffix

Business Name

STEPHEN PUNTENNE SMITH MD

Original Issue Date

05/04/1978

Effective Date

05/04/1978

Expiration Date

07/01/1982

City

WILMETTE

State

Zip

60091

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006