AVA HARRIS STANLEY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****82

License Status

NOT RENEWED

Business

First Name

AVA HARRIS

Last Name

STANLEY

Suffix

Business Name

AVA HARRIS STANLEY MD

Original Issue Date

01/01/1997

Expiration Date

07/31/1993

City

CHICAGO

State

Zip

60615

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020