TIMOTHY PAUL STAUDACHER MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125023675

License Status

EXPIRED

Business

First Name

TIMOTHY PAUL

Last Name

STAUDACHER

Suffix

Business Name

TIMOTHY PAUL STAUDACHER MD

Original Issue Date

05/09/1989

Effective Date

05/09/1989

Expiration Date

07/01/1992

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

09/22/2006