STEPHEN K SPONAGLE Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125039089

License Status

EXPIRED

Business

First Name

STEPHEN

Middle

Last Name

SPONAGLE

Business Name

STEPHEN K SPONAGLE

Original Issue Date

06/22/1999

Effective Date

06/22/1999

Expiration Date

08/25/2003

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Psychiatry

Ever Disciplined

LastModifiedDate

09/22/2006