STEPHENS A GALENS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036086449

License Status

NOT RENEWED

Business

First Name

STEPHENS A

Last Name

GALENS

Suffix

Business Name

STEPHENS A GALENS MD

Original Issue Date

06/14/1993

Effective Date

06/14/1993

Expiration Date

07/31/1996

City

CHICAGO

State

Zip

60610

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006