CALEB MANESS STALLS MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125062352

License Status

CANCELLED

Business

First Name

CALEB

Middle

MANESS

Last Name

STALLS

Suffix

Business Name

CALEB MANESS STALLS MD

Original Issue Date

09/04/2015

Effective Date

09/04/2015

Expiration Date

09/03/2016

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

02/23/2015