STACEY JAIMES-HERRERA MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125077523

License Status

CANCELLED

Business

Title

First Name

STACEY

Last Name

JAIMES-HERRERA

Business Name

STACEY JAIMES-HERRERA MD

Original Issue Date

06/23/2021

Effective Date

06/23/2021

Expiration Date

06/22/2024

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

04/20/2021