STACIE D MCCLANE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036106591

License Status

ACTIVE

Business

First Name

STACIE

Middle

Last Name

MCCLANE

Suffix

Business Name

STACIE D MCCLANE MD

Original Issue Date

03/25/2002

Effective Date

06/21/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

06/21/2023