BRIAN ROBERT STAFEIL Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036118298

License Status

NOT RENEWED

Business

First Name

BRIAN

Middle

ROBERT

Last Name

STAFEIL

Business Name

BRIAN ROBERT STAFEIL

Original Issue Date

05/02/2007

Effective Date

06/04/2008

Expiration Date

07/31/2011

City

WOODRIDGE

State

Zip

60517

County

DUPAGE

Ever Disciplined

LastModifiedDate

11/14/2011