GITANA STASKUS MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125042159

License Status

EXPIRED

Business

First Name

GITANA

Last Name

STASKUS

Suffix

Business Name

GITANA STASKUS MD

Original Issue Date

08/23/2000

Effective Date

08/23/2000

Expiration Date

08/22/2003

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006