ANNA A STANISLAUS MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125051680

License Status

EXPIRED

Business

Title

First Name

ANNA

Middle

Last Name

STANISLAUS

Business Name

ANNA A STANISLAUS MD

Original Issue Date

06/24/2006

Effective Date

06/24/2006

Expiration Date

06/23/2009

City

WESTMONT

State

Zip

60559

County

DUPAGE

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

07/15/2009