STACIE D MCCLANE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****10

License Status

NOT RENEWED

Business

First Name

STACIE

Middle

Last Name

MCCLANE

Suffix

Business Name

STACIE D MCCLANE MD

Original Issue Date

03/01/2004

Effective Date

04/17/2008

Expiration Date

07/31/2011

City

BARRINGTON

State

Zip

60010

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020