STEPHEN L DEWITT DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125024074

License Status

EXPIRED

Business

First Name

STEPHEN L

Last Name

DEWITT

Suffix

Business Name

STEPHEN L DEWITT DO

Original Issue Date

06/14/1989

Effective Date

06/14/1989

Expiration Date

07/01/1992

City

CHICAGO

State

Zip

60615

County

COOK

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

09/22/2006