STELLA E HINES MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125044074

License Status

EXPIRED

Business

First Name

STELLA

Middle

Last Name

HINES

Suffix

Business Name

STELLA E HINES MD

Original Issue Date

06/24/2002

Effective Date

06/24/2002

Expiration Date

06/23/2005

City

CHICAGO

State

Zip

60637

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006