ERIC JON STANEK DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125075842

License Status

CANCELLED

Business

Title

First Name

ERIC

Middle

JON

Last Name

STANEK

Business Name

ERIC JON STANEK DO

Original Issue Date

07/01/2020

Effective Date

07/01/2020

Expiration Date

06/30/2023

City

WESTMONT

State

Zip

60559

County

DUPAGE

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

04/27/2020