STACEY L HALL Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125055829

License Status

EXPIRED

Business

First Name

STACEY

Middle

Last Name

HALL

Business Name

STACEY L HALL

Original Issue Date

07/01/2009

Effective Date

07/01/2009

Expiration Date

06/30/2012

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Physical Medicine & Rehabilitation

Ever Disciplined

LastModifiedDate

08/29/2012