STEPHANIE M LINDSTROM MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125038186

License Status

CANCELLED

Business

First Name

STEPHANIE

Middle

Last Name

LINDSTROM

Suffix

Business Name

STEPHANIE M LINDSTROM MD

Original Issue Date

06/02/1998

Effective Date

06/02/1998

Expiration Date

06/30/2001

City

PEORIA

State

Zip

61602

County

PEORIA

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006