JONATHAN J STAKE MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125026689

License Status

EXPIRED

Business

First Name

JONATHAN J

Last Name

STAKE

Suffix

Business Name

JONATHAN J STAKE MD

Original Issue Date

05/15/1991

Effective Date

05/15/1991

Expiration Date

06/23/1994

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006