TOM DAVIS STANLEY MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125047683

License Status

EXPIRED

Business

First Name

TOM

Middle

DAVIS

Last Name

STANLEY

Suffix

Business Name

TOM DAVIS STANLEY MD

Original Issue Date

07/01/2007

Effective Date

07/01/2007

Expiration Date

06/30/2009

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Orthopaedic Surgery

Ever Disciplined

LastModifiedDate

07/15/2009