STEPHANIE NICOLE BUCKLEY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036138006

License Status

NOT RENEWED

Business

Title

First Name

STEPHANIE

Middle

NICOLE

Last Name

BUCKLEY

Business Name

STEPHANIE NICOLE BUCKLEY MD

Original Issue Date

05/13/2015

Effective Date

05/13/2015

Expiration Date

07/31/2017

City

CHICAGO

State

Zip

60640

County

COOK

Ever Disciplined

LastModifiedDate

11/01/2017