STEPHEN J CICO MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125036407

License Status

EXPIRED

Business

Title

First Name

STEPHEN

Middle

Last Name

CICO

Business Name

STEPHEN J CICO MD

Original Issue Date

06/02/1997

Effective Date

06/02/1997

Expiration Date

06/30/2001

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

08/04/2009