MADELINE MARIE STARK MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125069240

License Status

CANCELLED

Business

Title

First Name

MADELINE

Middle

MARIE

Last Name

STARK

Business Name

MADELINE MARIE STARK MD

Original Issue Date

07/01/2016

Effective Date

07/01/2016

Expiration Date

06/30/2019

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Obstetrics and Gynecology

Ever Disciplined

LastModifiedDate

05/10/2016