STEPHANIE DIANA NORWOOD MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125052640

License Status

CANCELLED

Business

Title

First Name

STEPHANIE

Middle

DIANA

Last Name

NORWOOD

Business Name

STEPHANIE DIANA NORWOOD MD

Original Issue Date

06/18/2007

Effective Date

06/18/2007

Expiration Date

06/17/2010

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Pathology

Ever Disciplined

LastModifiedDate

04/17/2007