CARYN L STOLLER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****25

License Status

NOT RENEWED

Business

First Name

CARYN

Middle

Last Name

STOLLER

Suffix

Business Name

CARYN L STOLLER MD

Original Issue Date

12/03/1998

Effective Date

04/11/2011

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60657

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/12/2017