STANLEY C GO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125030086

License Status

EXPIRED

Business

First Name

STANLEY C

Last Name

Business Name

STANLEY C GO

Original Issue Date

06/03/1993

Effective Date

06/03/1993

Expiration Date

06/21/1996

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006