PATRICK W STODOLA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****00

License Status

NOT RENEWED

Business

Title

First Name

PATRICK

Middle

Last Name

STODOLA

Business Name

PATRICK W STODOLA MD

Original Issue Date

12/01/2005

Effective Date

12/01/2005

Expiration Date

07/31/2008

City

CHICAGO

State

Zip

60633

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2011