KRISTIAN THEO SCHAFERNAK MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125045783

License Status

EXPIRED

Business

First Name

KRISTIAN

Middle

THEO

Last Name

SCHAFERNAK

Suffix

Business Name

KRISTIAN THEO SCHAFERNAK MD

Original Issue Date

06/17/2003

Effective Date

06/17/2003

Expiration Date

06/16/2006

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Pathology

Ever Disciplined

LastModifiedDate

09/22/2006