STUART M SPRAGUE DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125015051

License Status

EXPIRED

Business

First Name

STUART M

Last Name

SPRAGUE

Suffix

Business Name

STUART M SPRAGUE DO

Original Issue Date

10/18/1982

Effective Date

10/18/1982

Expiration Date

10/14/1984

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006