ADAM CHARLES STEIN MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125052873

License Status

CANCELLED

Business

Title

First Name

ADAM

Middle

CHARLES

Last Name

STEIN

Business Name

ADAM CHARLES STEIN MD

Original Issue Date

06/24/2007

Effective Date

06/24/2007

Expiration Date

06/23/2010

City

CHICAGO

State

Zip

60611

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

04/27/2007