BRUCE ALFRED ST AMOUR DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125044774

License Status

EXPIRED

Business

First Name

BRUCE

Middle

ALFRED

Last Name

ST AMOUR

Suffix

Business Name

BRUCE ALFRED ST AMOUR DO

Original Issue Date

07/01/2002

Effective Date

07/01/2002

Expiration Date

06/30/2005

City

OLYMPIA FIELDS

State

Zip

60461

County

COOK

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

09/22/2006