STEPHANIE BETH HAMPEL KELLY MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125068907

License Status

CANCELLED

Business

Title

First Name

STEPHANIE

Middle

BETH HAMPEL

Last Name

KELLY

Business Name

STEPHANIE BETH HAMPEL KELLY MD

Original Issue Date

06/24/2019

Effective Date

06/24/2019

Expiration Date

06/23/2020

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Internal Medicine/Pediatrics

Ever Disciplined

LastModifiedDate

03/08/2019