MICHAEL J SPAK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036048412

License Status

NOT RENEWED

Business

First Name

MICHAEL J

Last Name

SPAK

Suffix

Business Name

MICHAEL J SPAK MD

Original Issue Date

10/06/1973

Effective Date

10/06/1973

City

GLEN ELLYN

State

Zip

60137

County

DUPAGE

Ever Disciplined

LastModifiedDate

09/20/2006