SUMMERS MICHELLE STACKS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****87

License Status

ACTIVE

Business

Title

First Name

SUMMERS

Middle

MICHELLE

Last Name

STACKS

Business Name

SUMMERS MICHELLE STACKS MD

Original Issue Date

08/02/2012

Effective Date

04/07/2023

Expiration Date

07/31/2026

City

TINLEY PARK

State

Zip

60487

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2023