CHANTALE N STEPHENS ARCHER MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125058758

License Status

CANCELLED

Business

Title

First Name

CHANTALE

Middle

Last Name

STEPHENS ARCHER

Business Name

CHANTALE N STEPHENS ARCHER MD

Original Issue Date

06/24/2010

Effective Date

06/24/2010

Expiration Date

06/23/2013

City

ELMHURST

State

Zip

60126

County

DUPAGE

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

06/17/2010