PERRY MORGAN STEVENS MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125045487

License Status

CANCELLED

Business

Title

First Name

PERRY

Middle

MORGAN

Last Name

STEVENS

Business Name

PERRY MORGAN STEVENS MD

Original Issue Date

06/30/2003

Effective Date

06/30/2003

Expiration Date

06/29/2006

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Diagnostic Radiology

Ever Disciplined

LastModifiedDate

09/22/2006