STEPHANIE REBECCA PANUSH DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125048196

License Status

CANCELLED

Business

First Name

STEPHANIE

Middle

REBECCA

Last Name

PANUSH

Suffix

Business Name

STEPHANIE REBECCA PANUSH DO

Original Issue Date

07/01/2007

Effective Date

07/01/2007

Expiration Date

06/30/2008

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Neurology

Ever Disciplined

LastModifiedDate

09/15/2009