STEPHANIE R V MENON MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125057882

License Status

EXPIRED

Business

Title

First Name

STEPHANIE

Middle

R V

Last Name

MENON

Business Name

STEPHANIE R V MENON MD

Original Issue Date

07/01/2013

Effective Date

07/01/2013

Expiration Date

06/30/2014

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Obstetrics and Gynecology

Ever Disciplined

LastModifiedDate

03/13/2015