STEPHANIE MACEACHERN DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125078893

License Status

CANCELLED

Business

Title

First Name

STEPHANIE

Last Name

MACEACHERN

Business Name

STEPHANIE MACEACHERN DO

Original Issue Date

06/25/2021

Effective Date

06/25/2021

Expiration Date

06/24/2024

City

LIBERTYVILLE

State

Zip

60048

County

LAKE

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

04/22/2021