STACEY L CARPENTER DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036134169

License Status

ACTIVE

Business

Title

First Name

STACEY

Middle

Last Name

CARPENTER

Business Name

STACEY L CARPENTER DO

Original Issue Date

11/14/2013

Effective Date

06/29/2023

Expiration Date

07/31/2026

City

COUNTRYSIDE

State

Zip

60525

County

COOK

Ever Disciplined

LastModifiedDate

06/29/2023