ANN MARIE STEPHENSON DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125054939

License Status

EXPIRED

Business

Title

First Name

ANN

Middle

MARIE

Last Name

STEPHENSON

Business Name

ANN MARIE STEPHENSON DO

Original Issue Date

07/01/2008

Effective Date

07/01/2008

Expiration Date

06/30/2011

City

OLYMPIA FIELDS

State

Zip

60461

County

COOK

Specialty/Qualifier

Gastroenterology

Ever Disciplined

LastModifiedDate

07/19/2011