JASON ERIC STASZKO DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****29

License Status

NOT RENEWED

Business

Title

First Name

JASON

Middle

ERIC

Last Name

STASZKO

Business Name

JASON ERIC STASZKO DO

Original Issue Date

07/03/2014

Effective Date

04/24/2017

Expiration Date

09/30/2020

City

SKOKIE

State

Zip

60077

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021