STACEY LOU SHEEHAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****51

License Status

NOT RENEWED

Business

First Name

STACEY LOU

Last Name

SHEEHAN

Suffix

Business Name

STACEY LOU SHEEHAN MD

Original Issue Date

10/06/1993

Effective Date

10/06/1993

Expiration Date

07/31/1996

City

BROADVIEW

State

Zip

60153

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006