DANIELLE ERIN STAHLBAUM MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125066628

License Status

CANCELLED

Business

Title

First Name

DANIELLE

Middle

ERIN

Last Name

STAHLBAUM

Business Name

DANIELLE ERIN STAHLBAUM MD

Original Issue Date

06/24/2015

Effective Date

06/24/2015

Expiration Date

06/23/2018

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

05/19/2015