KEVIN STUART HALSTUK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036059121

License Status

NOT RENEWED

Business

First Name

KEVIN STUART

Last Name

HALSTUK

Suffix

Business Name

KEVIN STUART HALSTUK MD

Original Issue Date

08/20/1979

Effective Date

05/17/2017

Expiration Date

09/30/2020

City

EVANSTON

State

Zip

60202

County

COOK

Ever Disciplined

LastModifiedDate

01/14/2021