STEPHEN BRADLEY ZIVIN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125043850

License Status

EXPIRED

Business

Title

First Name

STEPHEN

Middle

BRADLEY

Last Name

ZIVIN

Business Name

STEPHEN BRADLEY ZIVIN MD

Original Issue Date

06/24/2002

Effective Date

06/24/2002

Expiration Date

06/23/2005

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Diagnostic Radiology

Ever Disciplined

LastModifiedDate

09/22/2006