STEPHANIE R EXUM Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125040716

License Status

EXPIRED

Business

First Name

STEPHANIE

Middle

Last Name

EXUM

Business Name

STEPHANIE R EXUM

Original Issue Date

07/01/2000

Effective Date

07/01/2000

Expiration Date

06/30/2005

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

09/22/2006