CURT CARLTON STILP Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085001753

License Status

NOT RENEWED

Business

First Name

CURT

Middle

CARLTON

Last Name

STILP

Business Name

CURT CARLTON STILP

Original Issue Date

01/17/2002

Effective Date

12/14/2007

Expiration Date

03/01/2010

City

WAUCONDA

State

Zip

60084

County

LAKE

Ever Disciplined

LastModifiedDate

04/01/2010