STEPHANIE ANN HERATY MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125049151

License Status

EXPIRED

Business

First Name

STEPHANIE

Middle

ANN

Last Name

HERATY

Suffix

Business Name

STEPHANIE ANN HERATY MD

Original Issue Date

06/27/2005

Effective Date

06/27/2005

Expiration Date

06/26/2008

City

EVANSTON

State

Zip

60201

Specialty/Qualifier

Obstetrics & Gynecology

Ever Disciplined

LastModifiedDate

07/31/2008