ANGELA MICHELLE STURDIVANT MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125023650

License Status

EXPIRED

Business

Title

First Name

ANGELA

Middle

MICHELLE

Last Name

STURDIVANT

Business Name

ANGELA MICHELLE STURDIVANT MD

Original Issue Date

05/09/1989

Effective Date

05/09/1989

Expiration Date

06/26/1992

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006