JEFFREY G STOVALL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****23

License Status

NOT RENEWED

Business

First Name

JEFFREY G

Last Name

STOVALL

Suffix

Business Name

JEFFREY G STOVALL MD

Original Issue Date

05/11/1989

Effective Date

05/11/1989

Expiration Date

07/31/1996

City

CHICAGO

State

Zip

60612

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006