STACEY MICHELLE KALLEM MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036175099

License Status

ACTIVE

Business

Title

First Name

STACEY

Middle

MICHELLE

Last Name

KALLEM

Business Name

STACEY MICHELLE KALLEM MD

Original Issue Date

05/23/2025

Effective Date

05/23/2025

Expiration Date

07/31/2026

City

MERION STATION

State

Zip

19066

County

MONTGOMERY

Ever Disciplined

LastModifiedDate

05/23/2025