STANLEY W WHITAKER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036074235

License Status

NOT RENEWED

Business

First Name

STANLEY W

Last Name

WHITAKER

Suffix

Business Name

STANLEY W WHITAKER MD

Original Issue Date

12/22/1986

Effective Date

12/22/1986

Expiration Date

07/31/1990

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

02/22/2016