WHITNEY WYATT STEVENS MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125057576

License Status

CANCELLED

Business

Title

First Name

WHITNEY

Middle

WYATT

Last Name

STEVENS

Business Name

WHITNEY WYATT STEVENS MD

Original Issue Date

06/23/2010

Effective Date

06/23/2010

Expiration Date

06/22/2013

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

05/05/2010