SUMMERS MICHELLE STACKS MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125057452

License Status

EXPIRED

Business

Title

First Name

SUMMERS

Middle

MICHELLE

Last Name

STACKS

Business Name

SUMMERS MICHELLE STACKS MD

Original Issue Date

06/21/2010

Effective Date

06/21/2010

Expiration Date

06/20/2013

City

PARK RIDGE

State

Zip

60068

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

10/07/2013