STACIE J BOSNYAK MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125020628

License Status

EXPIRED

Business

First Name

STACIE J

Last Name

BOSNYAK

Suffix

Business Name

STACIE J BOSNYAK MD

Original Issue Date

05/02/1987

Effective Date

05/02/1987

Expiration Date

06/25/1990

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Obstetrics & Gynecology

Ever Disciplined

LastModifiedDate

09/22/2006