PATRICK W STODOLA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****28

License Status

NOT RENEWED

Business

Title

First Name

PATRICK

Middle

Last Name

STODOLA

Business Name

PATRICK W STODOLA MD

Original Issue Date

09/19/1983

Effective Date

08/04/2011

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60617

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014

Case Number

2011002378

Action

Revocation

Discipline Start Date

11/13/2012

Discipline Reason

after his DEA Registration was revoked based on his prescribing of controlled substances to patients.