ASHA STANN DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125078919

License Status

EXPIRED

Business

Title

First Name

ASHA

Last Name

STANN

Business Name

ASHA STANN DO

Original Issue Date

07/01/2021

Effective Date

07/01/2021

Expiration Date

06/30/2024

City

CHICAGO

State

Zip

60612

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

10/30/2024