STACIE BREWER GRIFFIS MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125059340

License Status

CANCELLED

Business

Title

First Name

STACIE

Middle

BREWER

Last Name

GRIFFIS

Business Name

STACIE BREWER GRIFFIS MD

Original Issue Date

07/01/2011

Effective Date

07/01/2011

Expiration Date

06/30/2014

City

CHICAGO

State

Zip

60622

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

04/21/2011