BASIL P STAMOS MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125025932

License Status

EXPIRED

Business

First Name

BASIL P

Last Name

STAMOS

Suffix

Business Name

BASIL P STAMOS MD

Original Issue Date

07/19/1990

Effective Date

07/19/1990

Expiration Date

07/10/1993

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006