STACIE IRENE MURPHY Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002104

License Status

NOT RENEWED

Business

First Name

STACIE

Middle

IRENE

Last Name

MURPHY

Business Name

STACIE IRENE MURPHY

Original Issue Date

10/03/2003

Effective Date

10/03/2003

Expiration Date

03/01/2008

City

MELROSE PARK

State

Zip

60160

County

COOK

Ever Disciplined

LastModifiedDate

04/02/2025