STACEY ELEAN OCCOMY MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036105313

License Status

ACTIVE

Business

First Name

STACEY

Middle

ELEAN

Last Name

OCCOMY

Suffix

Business Name

STACEY ELEAN OCCOMY MD

Original Issue Date

07/27/2001

Effective Date

04/06/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60649

County

COOK

Ever Disciplined

LastModifiedDate

04/06/2023