TROY WAYNE STOVALL Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125028485

License Status

EXPIRED

Business

First Name

TROY WAYNE

Last Name

STOVALL

Business Name

TROY WAYNE STOVALL

Original Issue Date

06/01/1992

Effective Date

06/01/1992

Expiration Date

06/30/1995

City

LAGRANGE

State

Zip

60525

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

05/29/2014