JACK L STUMP MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****56

License Status

NOT RENEWED

Business

First Name

JACK L

Last Name

STUMP

Suffix

Business Name

JACK L STUMP MD

Original Issue Date

09/05/1991

Effective Date

09/05/1991

Expiration Date

07/31/2002

City

OAK LAWN

State

Zip

60453

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/12/2017