CHRISTIANE ELLEN STAHL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****22

License Status

NOT RENEWED

Business

First Name

CHRISTIANE ELLEN

Last Name

STAHL

Suffix

Business Name

CHRISTIANE ELLEN STAHL MD

Original Issue Date

06/23/1981

Effective Date

05/01/2017

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60612

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021