FRAZIER T MD STEVENSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036072245

License Status

NOT RENEWED

Business

First Name

FRAZIER T MD

Last Name

STEVENSON

Suffix

Business Name

FRAZIER T MD STEVENSON MD

Original Issue Date

01/14/1986

Effective Date

01/14/1986

Expiration Date

07/31/1987

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

03/18/2010