MARY SUZANNE STEVENS Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125034188

License Status

EXPIRED

Business

First Name

MARY

Middle

SUZANNE

Last Name

STEVENS

Business Name

MARY SUZANNE STEVENS

Original Issue Date

05/08/1996

Effective Date

05/08/1996

Expiration Date

06/30/1999

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Neurology

Ever Disciplined

LastModifiedDate

09/22/2006