TROND ALVAR STOCKENSTROM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036101579

License Status

NOT RENEWED

Business

First Name

TROND

Middle

ALVAR

Last Name

STOCKENSTROM

Suffix

Business Name

TROND ALVAR STOCKENSTROM MD

Original Issue Date

11/05/1999

Effective Date

11/05/1999

Expiration Date

07/31/2002

City

CHICAGO

State

Zip

60614

County

COOK

Ever Disciplined

LastModifiedDate

07/14/2009