STEPHEN GERARD POPHAL MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125026734

License Status

EXPIRED

Business

First Name

STEPHEN GERARD

Last Name

POPHAL

Suffix

Business Name

STEPHEN GERARD POPHAL MD

Original Issue Date

05/16/1991

Effective Date

05/16/1991

Expiration Date

06/22/1994

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

09/22/2006