STOCKTON M MAYER DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125054290

License Status

CANCELLED

Business

Title

First Name

STOCKTON

Middle

Last Name

MAYER

Business Name

STOCKTON M MAYER DO

Original Issue Date

06/24/2008

Effective Date

06/24/2008

Expiration Date

06/23/2011

City

CHICAGO

State

Zip

60612

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

05/14/2008