ETHAN STERK DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125046488

License Status

CANCELLED

Business

First Name

ETHAN

Last Name

STERK

Suffix

Business Name

ETHAN STERK DO

Original Issue Date

05/29/2003

Effective Date

05/29/2003

Expiration Date

06/30/2006

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

09/22/2006