THOMAS E STURDAVANT MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125033950

License Status

EXPIRED

Business

First Name

THOMAS

Middle

Last Name

STURDAVANT

Suffix

Business Name

THOMAS E STURDAVANT MD

Original Issue Date

09/28/1995

Effective Date

09/28/1995

Expiration Date

12/27/1998

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

09/22/2006