IAN LEVI STINES MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125065649

License Status

CANCELLED

Business

Title

First Name

IAN

Middle

LEVI

Last Name

STINES

Business Name

IAN LEVI STINES MD

Original Issue Date

07/01/2017

Effective Date

07/01/2017

Expiration Date

06/30/2020

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

06/07/2017