MARCIE L STOSHAK CHAVEZ, MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036076423

License Status

ACTIVE

Business

First Name

MARCIE

Middle

Last Name

STOSHAK CHAVEZ,

Suffix

Business Name

MARCIE L STOSHAK CHAVEZ, MD

Original Issue Date

12/07/1987

Effective Date

07/01/2023

Expiration Date

07/31/2026

City

OAK PARK

State

Zip

60302

Ever Disciplined

LastModifiedDate

07/01/2023