STEPHANIE R EXUM Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****42

License Status

NOT RENEWED

Business

First Name

STEPHANIE

Middle

Last Name

EXUM

Business Name

STEPHANIE R EXUM

Original Issue Date

07/14/2003

Effective Date

08/21/2008

Expiration Date

07/31/2011

City

GLENVIEW

State

Zip

60026

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/10/2011