DAVID J STEPHEN DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125058370

License Status

CANCELLED

Business

Title

First Name

DAVID

Middle

Last Name

STEPHEN

Business Name

DAVID J STEPHEN DO

Original Issue Date

07/01/2010

Effective Date

07/01/2010

Expiration Date

06/30/2013

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Pathology

Ever Disciplined

LastModifiedDate

05/19/2010