STEVEN JAMES MIC MACDONALD MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036090173

License Status

NOT RENEWED

Business

First Name

STEVEN JAMES MIC

Last Name

MACDONALD

Suffix

Business Name

STEVEN JAMES MIC MACDONALD MD

Original Issue Date

02/07/1995

Effective Date

02/07/1995

Expiration Date

07/31/1996

City

NAPERVILLE

State

Zip

60563

County

DUPAGE

Ever Disciplined

LastModifiedDate

09/20/2006