AMBER M STEVENSON MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125053823

License Status

EXPIRED

Business

Title

First Name

AMBER

Middle

Last Name

STEVENSON

Business Name

AMBER M STEVENSON MD

Original Issue Date

07/12/2007

Effective Date

07/12/2007

Expiration Date

07/11/2010

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Dermatology

Ever Disciplined

LastModifiedDate

08/05/2010