GREGORY S STACY MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****74

License Status

ACTIVE

Business

First Name

GREGORY

Middle

Last Name

STACY

Suffix

Business Name

GREGORY S STACY MD

Original Issue Date

01/14/1998

Effective Date

04/21/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60637

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/21/2023