STEPHANIE BEALE HANHAN MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125048409

License Status

CANCELLED

Business

First Name

STEPHANIE

Middle

BEALE

Last Name

HANHAN

Suffix

Business Name

STEPHANIE BEALE HANHAN MD

Original Issue Date

06/14/2004

Effective Date

06/14/2004

Expiration Date

06/30/2007

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Diagnostic Radiology

Ever Disciplined

LastModifiedDate

09/22/2006