MEGAN LYNN STULTZ MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125057849

License Status

CANCELLED

Business

Title

First Name

MEGAN

Middle

LYNN

Last Name

STULTZ

Business Name

MEGAN LYNN STULTZ MD

Original Issue Date

06/24/2010

Effective Date

06/24/2010

Expiration Date

06/23/2013

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

05/18/2010