STEPHANIE ROMAN BARLIN MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125051632

License Status

CANCELLED

Business

Title

First Name

STEPHANIE

Middle

ROMAN

Last Name

BARLIN

Business Name

STEPHANIE ROMAN BARLIN MD

Original Issue Date

06/24/2006

Effective Date

06/24/2006

Expiration Date

06/23/2009

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

09/22/2006