ANGELINE A STANISLAUS MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125037182

License Status

EXPIRED

Business

First Name

ANGELINE

Middle

Last Name

STANISLAUS

Suffix

Business Name

ANGELINE A STANISLAUS MD

Original Issue Date

07/31/1997

Effective Date

07/31/1997

Expiration Date

11/12/2001

City

SPRINGFIELD

State

Zip

62781

County

SANGAMON

Specialty/Qualifier

Psychiatry

Ever Disciplined

LastModifiedDate

09/22/2006