STEFANIA CHASE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036049449

License Status

NOT RENEWED

Business

First Name

STEFANIA

Last Name

CHASE

Suffix

Business Name

STEFANIA CHASE MD

Original Issue Date

08/28/1974

Effective Date

08/28/1974

Expiration Date

07/31/2005

City

MARSEILLES

State

Zip

61341

County

LA SALLE

Ever Disciplined

LastModifiedDate

10/09/2006