MARCIE L STOSHAK CHAVEZ, MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125019296

License Status

EXPIRED

Business

First Name

MARCIE

Middle

Last Name

STOSHAK CHAVEZ,

Suffix

Business Name

MARCIE L STOSHAK CHAVEZ, MD

Original Issue Date

06/03/1986

Effective Date

06/03/1986

Expiration Date

07/01/1989

City

CHICAGO

State

Zip

60616

County

COOK

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

09/22/2006