KYLE MICHAEL STANG MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125068161

License Status

CANCELLED

Business

Title

First Name

KYLE

Middle

MICHAEL

Last Name

STANG

Business Name

KYLE MICHAEL STANG MD

Original Issue Date

07/01/2019

Effective Date

07/01/2019

Expiration Date

06/30/2021

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Radiation Oncology

Ever Disciplined

LastModifiedDate

06/01/2019