CYNTHIA V STACK MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036051310

License Status

ACTIVE

Business

First Name

CYNTHIA V

Last Name

STACK

Suffix

Business Name

CYNTHIA V STACK MD

Original Issue Date

07/10/1975

Effective Date

04/21/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

04/21/2023