STEPHANIE L SUGIN Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125019216

License Status

EXPIRED

Business

First Name

STEPHANIE

Middle

Last Name

SUGIN

Business Name

STEPHANIE L SUGIN

Original Issue Date

05/22/1986

Effective Date

05/22/1986

Expiration Date

07/01/1990

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Ophthalmology

Ever Disciplined

LastModifiedDate

09/22/2006