CURT CARLTON STILP Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****72

License Status

NOT RENEWED

Business

First Name

CURT

Middle

CARLTON

Last Name

STILP

Business Name

CURT CARLTON STILP

Original Issue Date

07/09/2002

Effective Date

12/14/2007

Expiration Date

03/01/2010

City

MORTON GROVE

State

Zip

60053

County

COOK

Ever Disciplined

LastModifiedDate

06/30/2008