STEPHEN S OUTTEN DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125036432

License Status

EXPIRED

Business

First Name

STEPHEN

Middle

Last Name

OUTTEN

Suffix

Business Name

STEPHEN S OUTTEN DO

Original Issue Date

06/04/1997

Effective Date

06/04/1997

Expiration Date

06/19/2000

City

OLYMPIA FLDS

State

Zip

60461

County

COOK

Ever Disciplined

LastModifiedDate

07/11/2017