KIMBERLY ANN STANFORD MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036143501

License Status

ACTIVE

Business

Title

First Name

KIMBERLY

Middle

ANN

Last Name

STANFORD

Business Name

KIMBERLY ANN STANFORD MD

Original Issue Date

06/14/2017

Effective Date

04/07/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60618

County

COOK

Ever Disciplined

LastModifiedDate

04/07/2023