PAUL D SPONSELLER MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

VISITING PHYSICIAN PERMIT

License Number

106000464

License Status

CANCELLED

Business

First Name

PAUL

Middle

Last Name

SPONSELLER

Suffix

Business Name

PAUL D SPONSELLER MD

Original Issue Date

08/02/2012

Effective Date

08/02/2012

Expiration Date

02/01/2013

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

05/09/2012