JASON DANIEL STOKLOSA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036161161

License Status

ACTIVE

Business

Title

First Name

JASON

Middle

DANIEL

Last Name

STOKLOSA

Business Name

JASON DANIEL STOKLOSA MD

Original Issue Date

07/05/2022

Effective Date

06/26/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

06/26/2023