DANIELLE ERIN STAHLBAUM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****73

License Status

NOT RENEWED

Business

Title

First Name

DANIELLE

Middle

ERIN

Last Name

STAHLBAUM

Business Name

DANIELLE ERIN STAHLBAUM MD

Original Issue Date

05/10/2021

Effective Date

05/10/2021

Expiration Date

07/31/2023

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023