JOSEPH WILLIAM MASLAK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****21

License Status

NOT RENEWED

Business

First Name

JOSEPH

Middle

WILLIAM

Last Name

MASLAK

Suffix

Business Name

JOSEPH WILLIAM MASLAK MD

Original Issue Date

07/01/1999

Effective Date

04/11/2011

Expiration Date

07/31/2014

City

GALESBURG

State

Zip

61401

County

KNOX

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014