BUNYAN STEPHENS DUDLEY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036057097

License Status

NOT RENEWED

Business

First Name

BUNYAN STEPHENS

Last Name

DUDLEY

Suffix

Business Name

BUNYAN STEPHENS DUDLEY MD

Original Issue Date

07/24/1978

Effective Date

07/24/1978

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006