DAVID WAYNE STOLLER MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125014698

License Status

EXPIRED

Business

First Name

DAVID

Middle

WAYNE

Last Name

STOLLER

Suffix

Business Name

DAVID WAYNE STOLLER MD

Original Issue Date

06/30/1982

Effective Date

06/30/1982

Expiration Date

06/25/1984

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Orthopaedic Surgery

Ever Disciplined

LastModifiedDate

09/22/2006