STACEY ELEAN OCCOMY MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****64

License Status

ACTIVE

Business

First Name

STACEY

Middle

ELEAN

Last Name

OCCOMY

Suffix

Business Name

STACEY ELEAN OCCOMY MD

Original Issue Date

12/09/2022

Effective Date

06/09/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/09/2023