STEPHANIE LEE LABOMASCUS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036138365

License Status

NOT RENEWED

Business

Title

First Name

STEPHANIE

Middle

LEE

Last Name

LABOMASCUS

Business Name

STEPHANIE LEE LABOMASCUS MD

Original Issue Date

06/18/2015

Effective Date

05/01/2017

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60647

County

COOK

Ever Disciplined

LastModifiedDate

01/14/2021