STACY HORN AHMAD DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036102133

License Status

NOT RENEWED

Business

First Name

STACY

Middle

HORN

Last Name

AHMAD

Suffix

Business Name

STACY HORN AHMAD DO

Original Issue Date

03/15/2000

Effective Date

03/15/2000

Expiration Date

07/31/2005

City

EVANSTON

State

Zip

60201

County

COOK

Ever Disciplined

LastModifiedDate

02/06/2019