STEPHEN N WALL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036086036

License Status

NOT RENEWED

Business

First Name

STEPHEN N

Last Name

WALL

Suffix

Business Name

STEPHEN N WALL MD

Original Issue Date

05/17/1993

Effective Date

05/17/1993

Expiration Date

07/31/2005

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006