TYSON WILBERT STOCK DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125062689

License Status

CANCELLED

Business

First Name

TYSON

Middle

WILBERT

Last Name

STOCK

Suffix

Business Name

TYSON WILBERT STOCK DO

Original Issue Date

06/24/2013

Effective Date

06/24/2013

Expiration Date

06/23/2016

City

OAK LAWN

State

Zip

60453

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

03/24/2014