GREGORY S STACY MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125032857

License Status

EXPIRED

Business

First Name

GREGORY

Middle

Last Name

STACY

Suffix

Business Name

GREGORY S STACY MD

Original Issue Date

05/30/1995

Effective Date

05/30/1995

Expiration Date

06/23/1998

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Diagnostic Radiology

Ever Disciplined

LastModifiedDate

09/22/2006