DAVID STASIOR MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125055214

License Status

EXPIRED

Business

Title

First Name

DAVID

Last Name

STASIOR

Business Name

DAVID STASIOR MD

Original Issue Date

07/01/2009

Effective Date

07/01/2009

Expiration Date

06/30/2012

City

ELMHURST

State

Zip

60126

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

08/29/2012