CARYN M STACK MD - Medical Doctor License in Illinois | # 036064795

CARYN M STACK MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036064795

License Status

NOT RENEWED

Business

N

First Name

CARYN M

Last Name

STACK

Suffix

MD

Business Name

CARYN M STACK MD

Original Issue Date

07/20/1982

Effective Date

05/10/2011

Expiration Date

07/31/2014

State

IL

Ever Disciplined

N

LastModifiedDate

11/17/2014