STACI LYNN BOLDIZSAR MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036136048

License Status

ACTIVE

Business

Title

First Name

STACI

Middle

LYNN

Last Name

BOLDIZSAR

Business Name

STACI LYNN BOLDIZSAR MD

Original Issue Date

07/28/2014

Effective Date

04/06/2023

Expiration Date

07/31/2026

City

LA GRANGE PARK

State

Zip

60526

County

COOK

Ever Disciplined

LastModifiedDate

04/06/2023