ROBERT NICHOLAS STAAB MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036134279

License Status

NOT RENEWED

Business

Title

First Name

ROBERT

Middle

NICHOLAS

Last Name

STAAB

Business Name

ROBERT NICHOLAS STAAB MD

Original Issue Date

12/06/2013

Effective Date

04/11/2014

Expiration Date

07/31/2017

City

OAK PARK

State

Zip

60304

County

COOK

Ever Disciplined

LastModifiedDate

11/01/2017