MICHAEL BRANDON STONE DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125078960

License Status

CANCELLED

Business

Title

First Name

MICHAEL

Middle

BRANDON

Last Name

STONE

Business Name

MICHAEL BRANDON STONE DO

Original Issue Date

07/01/2021

Effective Date

07/01/2021

Expiration Date

06/30/2024

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Pathology - Anatomic and Clinical

Ever Disciplined

LastModifiedDate

06/24/2021