TIMOTHY JON STEVENS MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125051619

License Status

EXPIRED

Business

First Name

TIMOTHY

Middle

JON

Last Name

STEVENS

Suffix

Business Name

TIMOTHY JON STEVENS MD

Original Issue Date

06/24/2007

Effective Date

06/24/2007

Expiration Date

06/23/2009

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

07/15/2009