MICHAEL D MASTAKAS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036062993

License Status

NOT RENEWED

Business

First Name

MICHAEL

Middle

Last Name

MASTAKAS

Suffix

Business Name

MICHAEL D MASTAKAS MD

Original Issue Date

08/24/1981

Effective Date

06/16/2008

Expiration Date

07/31/2011

City

CHICAGO

State

Zip

60625

County

COOK

Ever Disciplined

LastModifiedDate

11/14/2011