Department of State
Board of Medicine
STACEY MICHELLE KALLEM
Graduate Medical Trainee
License number
MT203897
Date granted
05/06/2013
Date expires
06/30/2016
Class
Graduate Medical Trainee
Status
Active
Address
Plainview NY 11803
medicinepa.com
ID 37544549
LAST UPDATED 2026-04-01 15:46:55 UTC
LAST UPDATED 2026-04-01 15:46:55 UTC
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