MARK ANDREW STAUDACHER MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****20

License Status

ACTIVE

Business

First Name

MARK

Middle

ANDREW

Last Name

STAUDACHER

Suffix

Business Name

MARK ANDREW STAUDACHER MD

Original Issue Date

07/26/2005

Effective Date

05/31/2023

Expiration Date

07/31/2026

City

ELBURN

State

Zip

60119

County

KANE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/31/2023