DAVID NATHAN STANEK DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125078633

License Status

EXPIRED

Business

Title

First Name

DAVID

Middle

NATHAN

Last Name

STANEK

Business Name

DAVID NATHAN STANEK DO

Original Issue Date

07/01/2021

Effective Date

07/01/2021

Expiration Date

06/30/2024

City

LAGRANGE

State

Zip

60525

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

10/30/2024