STEPHEN AARON TREVICK MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125056995

License Status

CANCELLED

Business

Title

First Name

STEPHEN

Middle

AARON

Last Name

TREVICK

Business Name

STEPHEN AARON TREVICK MD

Original Issue Date

06/24/2009

Effective Date

06/24/2009

Expiration Date

06/23/2012

City

CHICAGO

State

Zip

60622

County

COOK

Specialty/Qualifier

Neurological Surgery

Ever Disciplined

LastModifiedDate

05/22/2009