KRISTIAN THEO SCHAFERNAK MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036115331

License Status

INACTIVE

Business

First Name

KRISTIAN

Middle

THEO

Last Name

SCHAFERNAK

Suffix

Business Name

KRISTIAN THEO SCHAFERNAK MD

Original Issue Date

03/06/2006

Effective Date

04/16/2014

Expiration Date

07/31/2017

City

OAK PARK

State

Zip

60302

County

COOK

Ever Disciplined

LastModifiedDate

04/12/2017