STUART M MONTGOMERY Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036095442

License Status

INACTIVE

Business

First Name

STUART M

Last Name

MONTGOMERY

Business Name

STUART M MONTGOMERY

Original Issue Date

05/12/1997

Effective Date

05/12/1997

Expiration Date

07/31/1999

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006