STEPHEN J CROUGHAN Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125020156

License Status

EXPIRED

Business

First Name

STEPHEN J

Last Name

CROUGHAN

Business Name

STEPHEN J CROUGHAN

Original Issue Date

07/23/1986

Effective Date

07/23/1986

Expiration Date

07/01/1989

City

CHICAGO

State

Zip

60622

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006