BAILEY STEPHANIE SU MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125066626

License Status

CANCELLED

Business

Title

First Name

BAILEY

Middle

STEPHANIE

Last Name

Business Name

BAILEY STEPHANIE SU MD

Original Issue Date

06/24/2018

Effective Date

06/24/2018

Expiration Date

06/23/2020

City

CHICAGO

State

Zip

60642

County

COOK

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

05/10/2018