STEPHANIE ELIZABETH FOSTER DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LIMITED MEDICAL TEMPORARY PERMIT

License Number

130001196

License Status

CANCELLED

Business

Title

First Name

STEPHANIE

Middle

ELIZABETH

Last Name

FOSTER

Business Name

STEPHANIE ELIZABETH FOSTER DO

Original Issue Date

04/01/2018

Effective Date

04/01/2018

Expiration Date

04/30/2018

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

06/15/2018