STEPHANIE E TATE MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125019188

License Status

EXPIRED

Business

First Name

STEPHANIE E

Last Name

TATE

Suffix

Business Name

STEPHANIE E TATE MD

Original Issue Date

05/19/1986

Effective Date

05/19/1986

Expiration Date

01/14/1989

City

NORTH CHICAGO

State

Zip

60064

County

LAKE

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006