STEPHEN HENRY LASKIEWICZ DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125050855

License Status

CANCELLED

Business

Title

First Name

STEPHEN

Middle

HENRY

Last Name

LASKIEWICZ

Business Name

STEPHEN HENRY LASKIEWICZ DO

Original Issue Date

07/01/2007

Effective Date

07/01/2007

Expiration Date

06/30/2009

City

PROSPECT HEIGHTS

State

Zip

60070

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

05/07/2007