DOUGLAS MATTHEW STEIN Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125061860

License Status

EXPIRED

Business

First Name

DOUGLAS

Middle

MATTHEW

Last Name

STEIN

Business Name

DOUGLAS MATTHEW STEIN

Original Issue Date

06/24/2012

Effective Date

06/24/2012

Expiration Date

06/23/2013

City

EVANSTON

State

Zip

60202

County

COOK

Specialty/Qualifier

Transitional Year

Ever Disciplined

LastModifiedDate

10/07/2013