MARK ANDREW STAUDACHER MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036114068

License Status

ACTIVE

Business

First Name

MARK

Middle

ANDREW

Last Name

STAUDACHER

Suffix

Business Name

MARK ANDREW STAUDACHER MD

Original Issue Date

06/29/2005

Effective Date

05/31/2023

Expiration Date

07/31/2026

City

ELBURN

State

Zip

60119

County

KANE

Ever Disciplined

LastModifiedDate

05/31/2023