STEPHANIE M POUCH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036125316

License Status

NOT RENEWED

Business

First Name

STEPHANIE

Middle

Last Name

POUCH

Suffix

Business Name

STEPHANIE M POUCH MD

Original Issue Date

03/26/2010

Effective Date

03/26/2010

Expiration Date

07/31/2011

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

11/14/2011