ANDREW H STOCKLAND Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125031643

License Status

EXPIRED

Business

First Name

ANDREW

Middle

Last Name

STOCKLAND

Business Name

ANDREW H STOCKLAND

Original Issue Date

06/01/1994

Effective Date

06/01/1994

Expiration Date

06/20/1995

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

03/27/2007