STEPHAN ALAN WOLF MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036060920

License Status

NOT RENEWED

Business

First Name

STEPHAN ALAN

Last Name

WOLF

Suffix

Business Name

STEPHAN ALAN WOLF MD

Original Issue Date

09/11/1980

Effective Date

09/11/1980

Expiration Date

07/31/1984

City

CHICAGO

State

Zip

60649

County

COOK

Ever Disciplined

LastModifiedDate

08/16/2007