BENJAMIN THOMAS STUMPF DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125065158

License Status

EXPIRED

Business

Title

First Name

BENJAMIN

Middle

THOMAS

Last Name

STUMPF

Business Name

BENJAMIN THOMAS STUMPF DO

Original Issue Date

07/01/2014

Effective Date

07/01/2014

Expiration Date

06/30/2017

City

OLYMPIA FIELDS

State

Zip

60461

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/19/2017