JOSEPH L STAGGENBORG MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****57

License Status

NOT RENEWED

Business

First Name

JOSEPH

Middle

Last Name

STAGGENBORG

Suffix

Business Name

JOSEPH L STAGGENBORG MD

Original Issue Date

07/30/1993

Effective Date

04/12/2017

Expiration Date

09/30/2020

City

SUNRISE

State

Zip

33323

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021