STACY THEODORE STEANS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****96

License Status

NOT RENEWED

Business

First Name

STACY THEODORE

Last Name

STEANS

Suffix

Business Name

STACY THEODORE STEANS MD

Original Issue Date

07/31/1997

Effective Date

07/31/1997

Expiration Date

07/31/2005

City

CHICAGO

State

Zip

60608

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020