RICHARD CRAIG STOCKWELL MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125067913

License Status

EXPIRED

Business

Title

First Name

RICHARD

Middle

CRAIG

Last Name

STOCKWELL

Business Name

RICHARD CRAIG STOCKWELL MD

Original Issue Date

11/16/2015

Effective Date

11/16/2015

Expiration Date

11/15/2017

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

01/04/2018