STEPHEN JAMES WIELGUS MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125049687

License Status

EXPIRED

Business

First Name

STEPHEN

Middle

JAMES

Last Name

WIELGUS

Suffix

Business Name

STEPHEN JAMES WIELGUS MD

Original Issue Date

08/01/2010

Effective Date

08/01/2010

Expiration Date

07/30/2011

City

LINCOLNSHIRE

State

Zip

60069

Specialty/Qualifier

Sports Medicine (Family Practice)

Ever Disciplined

LastModifiedDate

09/30/2011