STANLEY R DRAKE MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125019984

License Status

EXPIRED

Business

First Name

STANLEY R

Last Name

DRAKE

Suffix

Business Name

STANLEY R DRAKE MD

Original Issue Date

07/07/1986

Effective Date

07/07/1986

Expiration Date

07/01/1989

City

CHICAGO

State

Zip

60616

County

COOK

Specialty/Qualifier

Obstetrics & Gynecology

Ever Disciplined

LastModifiedDate

09/22/2006