STEPHEN DAVID SMALL MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036102210

License Status

ACTIVE

Business

First Name

STEPHEN

Middle

DAVID

Last Name

SMALL

Suffix

Business Name

STEPHEN DAVID SMALL MD

Original Issue Date

03/28/2000

Effective Date

06/26/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60637

County

COOK

Ever Disciplined

LastModifiedDate

06/26/2023