ALEX JACOB STONE DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125075976

License Status

CANCELLED

Business

Title

First Name

ALEX

Middle

JACOB

Last Name

STONE

Business Name

ALEX JACOB STONE DO

Original Issue Date

07/01/2020

Effective Date

07/01/2020

Expiration Date

06/30/2023

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

05/19/2020