STEPHEN T THEW Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125033415

License Status

EXPIRED

Business

First Name

STEPHEN T

Last Name

THEW

Business Name

STEPHEN T THEW

Original Issue Date

06/15/1995

Effective Date

06/15/1995

Expiration Date

06/30/1998

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006