STACY MARIE CHIMENTO - Medical Doctor License in Illinois | # 125054276

STACY MARIE CHIMENTO

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125054276

License Status

EXPIRED

Business

N

First Name

STACY

Middle

MARIE

Last Name

CHIMENTO

Business Name

STACY MARIE CHIMENTO

Original Issue Date

06/23/2008

Effective Date

06/23/2008

Expiration Date

06/22/2009

State

IL

Specialty/Qualifier

Transitional Year

Ever Disciplined

N

LastModifiedDate

07/15/2009