STEPHANIE M MAUCH DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125045999

License Status

CANCELLED

Business

First Name

STEPHANIE

Middle

Last Name

MAUCH

Suffix

Business Name

STEPHANIE M MAUCH DO

Original Issue Date

07/01/2003

Effective Date

07/01/2003

Expiration Date

06/30/2006

City

HINSDALE

State

Zip

60521

County

DUPAGE

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006