STEPHANIE MARIE GWIN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125068562

License Status

EXPIRED

Business

Title

First Name

STEPHANIE

Middle

MARIE

Last Name

GWIN

Business Name

STEPHANIE MARIE GWIN MD

Original Issue Date

06/25/2016

Effective Date

06/25/2016

Expiration Date

06/24/2017

City

PARK RIDGE

State

Zip

60068

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/19/2017