MARIELLE KATHRYN STONE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****66

License Status

NOT RENEWED

Business

First Name

MARIELLE

Middle

KATHRYN

Last Name

STONE

Suffix

Business Name

MARIELLE KATHRYN STONE MD

Original Issue Date

03/10/2016

Effective Date

06/26/2017

Expiration Date

09/30/2020

City

LAKE ZURICH

State

Zip

60047

County

LAKE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021