STACY MICHELE MADAUS MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125068804

License Status

EXPIRED

Business

Title

First Name

STACY

Middle

MICHELE

Last Name

MADAUS

Business Name

STACY MICHELE MADAUS MD

Original Issue Date

07/01/2019

Effective Date

07/01/2019

Expiration Date

06/30/2020

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

11/19/2020