STEPHEN R HOLTSFORD MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125030566

License Status

EXPIRED

Business

Title

First Name

STEPHEN R

Last Name

HOLTSFORD

Business Name

STEPHEN R HOLTSFORD MD

Original Issue Date

07/01/1993

Effective Date

07/01/1993

Expiration Date

06/30/1996

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

09/22/2006