STACY A KAHN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036114221

License Status

NOT RENEWED

Business

First Name

STACY

Middle

Last Name

KAHN

Suffix

Business Name

STACY A KAHN MD

Original Issue Date

07/19/2005

Effective Date

06/09/2014

Expiration Date

07/31/2017

City

CHICAGO

State

Zip

60614

County

COOK

Ever Disciplined

LastModifiedDate

11/01/2017