STACY A KAHN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****28

License Status

NOT RENEWED

Business

First Name

STACY

Middle

Last Name

KAHN

Suffix

Business Name

STACY A KAHN MD

Original Issue Date

02/15/2008

Effective Date

06/09/2014

Expiration Date

07/31/2017

City

CHICAGO

State

Zip

60614

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017