TIMOTHY PATRICK STEPHENSON Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

VISITING PHYSICIAN PROFESSOR

License Number

113000034

License Status

CANCELLED

Business

First Name

TIMOTHY

Middle

PATRICK

Last Name

STEPHENSON

Business Name

TIMOTHY PATRICK STEPHENSON

Original Issue Date

01/01/2002

Effective Date

01/01/2002

Expiration Date

06/30/2003

City

CHICAGO

State

Zip

60637

County

COOK

Ever Disciplined

LastModifiedDate

09/23/2006