STACY SUZANNE BROWN MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125062704

License Status

CANCELLED

Business

First Name

STACY

Middle

SUZANNE

Last Name

BROWN

Suffix

Business Name

STACY SUZANNE BROWN MD

Original Issue Date

07/01/2013

Effective Date

07/01/2013

Expiration Date

06/30/2016

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Obstetrics and Gynecology

Ever Disciplined

LastModifiedDate

03/24/2014