BRIAN ROBERT STAFEIL Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

VISITING RESIDENT

License Number

188000258

License Status

EXPIRED

Business

First Name

BRIAN

Middle

ROBERT

Last Name

STAFEIL

Business Name

BRIAN ROBERT STAFEIL

Original Issue Date

02/23/2006

Effective Date

02/23/2006

Expiration Date

08/22/2006

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Obstetrics & Gynecology

Ever Disciplined

LastModifiedDate

09/25/2006