THOMAS W STACH MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036036069

License Status

INACTIVE

Business

First Name

THOMAS W

Last Name

STACH

Suffix

Business Name

THOMAS W STACH MD

Original Issue Date

09/03/1959

Effective Date

06/27/2011

Expiration Date

07/31/2014

City

WILLOWBROOK

State

Zip

60527

County

DUPAGE

Ever Disciplined

LastModifiedDate

04/08/2014