DAN WALTER STAMBOLIU MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036073879

License Status

NOT RENEWED

Business

First Name

DAN WALTER

Last Name

STAMBOLIU

Suffix

Business Name

DAN WALTER STAMBOLIU MD

Original Issue Date

10/03/1986

Effective Date

10/03/1986

Expiration Date

07/31/2005

City

CHICAGO

State

Zip

60625

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006