CHRISTIANE ELLEN STAHL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036062089

License Status

NOT RENEWED

Business

First Name

CHRISTIANE ELLEN

Last Name

STAHL

Suffix

Business Name

CHRISTIANE ELLEN STAHL MD

Original Issue Date

05/04/1981

Effective Date

05/01/2017

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

01/14/2021