MICHAEL CHARLES STAUDER Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125052983

License Status

EXPIRED

Business

First Name

MICHAEL

Middle

CHARLES

Last Name

STAUDER

Business Name

MICHAEL CHARLES STAUDER

Original Issue Date

06/24/2007

Effective Date

06/24/2007

Expiration Date

06/23/2008

City

EVANSTON

State

Zip

60202

County

COOK

Specialty/Qualifier

Transitional Year

Ever Disciplined

LastModifiedDate

06/26/2008