JACK L STUMP MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125023774

License Status

EXPIRED

Business

First Name

JACK L

Last Name

STUMP

Suffix

Business Name

JACK L STUMP MD

Original Issue Date

05/11/1989

Effective Date

05/11/1989

Expiration Date

06/26/1992

City

OAK LAWN

State

Zip

60453

County

COOK

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

09/22/2006