STEPHEN E GRILL - Medical Doctor License in Illinois | # 125020732

STEPHEN E GRILL

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125020732

License Status

EXPIRED

Business

N

First Name

STEPHEN

Middle

E

Last Name

GRILL

Business Name

STEPHEN E GRILL

Original Issue Date

05/08/1987

Effective Date

05/08/1987

Expiration Date

06/23/1990

State

IL

Specialty/Qualifier

Internal Medicine

Ever Disciplined

N

LastModifiedDate

09/22/2006