STACY A KAHN MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125042561

License Status

CANCELLED

Business

First Name

STACY

Middle

Last Name

KAHN

Suffix

Business Name

STACY A KAHN MD

Original Issue Date

06/24/2001

Effective Date

06/24/2001

Expiration Date

11/12/2007

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Pediatric Gastroenterology

Ever Disciplined

LastModifiedDate

09/22/2006