STACIE IRENE MURPHY Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****64

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

09/26/2006