CARYN M STACK MD - Medical Doctor License in Illinois | # 125012511

CARYN M STACK MD

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125012511

License Status

EXPIRED

Business

N

First Name

CARYN M

Last Name

STACK

Suffix

MD

Business Name

CARYN M STACK MD

Original Issue Date

06/17/1981

Effective Date

06/17/1981

Expiration Date

06/24/1983

State

IL

Specialty/Qualifier

Diagnostic Radiology

Ever Disciplined

N

LastModifiedDate

09/22/2006