IVORIE CHANTE STANLEY MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125065464

License Status

CANCELLED

Business

Title

First Name

IVORIE

Middle

CHANTE

Last Name

STANLEY

Business Name

IVORIE CHANTE STANLEY MD

Original Issue Date

01/12/2016

Effective Date

01/12/2016

Expiration Date

01/11/2018

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Occupational Medicine

Ever Disciplined

LastModifiedDate

01/12/2016