KRISTIAN THEO SCHAFERNAK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****01

License Status

NOT RENEWED

Business

First Name

KRISTIAN

Middle

THEO

Last Name

SCHAFERNAK

Suffix

Business Name

KRISTIAN THEO SCHAFERNAK MD

Original Issue Date

03/09/2006

Effective Date

04/16/2014

Expiration Date

07/31/2017

City

OAK PARK

State

Zip

60302

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017