STACIE J BOSNYAK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036078436

License Status

NOT RENEWED

Business

First Name

STACIE J

Last Name

BOSNYAK

Suffix

Business Name

STACIE J BOSNYAK MD

Original Issue Date

02/10/1989

Effective Date

02/10/1989

Expiration Date

07/31/1993

City

CHICAGO

State

Zip

60615

County

COOK

Ever Disciplined

LastModifiedDate

10/25/2018