MARCIE L STOSHAK CHAVEZ, MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****59

License Status

ACTIVE

Business

First Name

MARCIE

Middle

Last Name

STOSHAK CHAVEZ,

Suffix

Business Name

MARCIE L STOSHAK CHAVEZ, MD

Original Issue Date

01/07/1988

Effective Date

07/01/2023

Expiration Date

07/31/2026

City

OAK PARK

State

Zip

60302

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/01/2023