PAUL J STANISH Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125025794

License Status

EXPIRED

Business

First Name

PAUL J

Last Name

STANISH

Business Name

PAUL J STANISH

Original Issue Date

06/29/1990

Effective Date

06/29/1990

Expiration Date

06/24/1993

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

09/22/2006