ROLF R STAVIG MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125019824

License Status

EXPIRED

Business

First Name

ROLF

Middle

Last Name

STAVIG

Suffix

Business Name

ROLF R STAVIG MD

Original Issue Date

06/26/1986

Effective Date

06/26/1986

Expiration Date

07/01/1989

City

OAK PARK

State

Zip

60301

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006