ELISABETH M STAMBAUGH Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036095402

License Status

NOT RENEWED

Business

First Name

ELISABETH M

Last Name

STAMBAUGH

Business Name

ELISABETH M STAMBAUGH

Original Issue Date

04/29/1997

Effective Date

04/29/1997

Expiration Date

07/31/1999

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006