JULIE DONNELLY STARK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****11

License Status

NOT RENEWED

Business

First Name

JULIE

Middle

DONNELLY

Last Name

STARK

Suffix

Business Name

JULIE DONNELLY STARK MD

Original Issue Date

08/27/2008

Effective Date

04/05/2011

Expiration Date

07/31/2014

City

PLAINFIELD

State

Zip

60544

County

WILL

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014