STACY THEODORE STEANS MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125031129

License Status

EXPIRED

Business

First Name

STACY THEODORE

Last Name

STEANS

Suffix

Business Name

STACY THEODORE STEANS MD

Original Issue Date

05/13/1994

Effective Date

05/13/1994

Expiration Date

06/30/1997

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

09/22/2006