GITANA STASKUS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****12

License Status

NOT RENEWED

Business

First Name

GITANA

Last Name

STASKUS

Suffix

Business Name

GITANA STASKUS MD

Original Issue Date

12/06/2005

Effective Date

12/06/2005

Expiration Date

07/31/2008

City

WOODSTOCK

State

Zip

60098

County

MCHENRY

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020