STACEY E HORSTMAN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125039951

License Status

EXPIRED

Business

First Name

STACEY

Middle

Last Name

HORSTMAN

Suffix

Business Name

STACEY E HORSTMAN MD

Original Issue Date

06/22/1999

Effective Date

06/22/1999

Expiration Date

06/21/2002

City

CHICAGO

State

Zip

60602

County

COOK

Specialty/Qualifier

Psychiatry

Ever Disciplined

LastModifiedDate

09/22/2006