STEPHEN L DEWITT DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036081121

License Status

NOT RENEWED

Business

First Name

STEPHEN L

Last Name

DEWITT

Suffix

Business Name

STEPHEN L DEWITT DO

Original Issue Date

07/24/1990

Effective Date

07/24/1990

Expiration Date

07/31/1996

City

CHICAGO

State

Zip

60610

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006