STACI LYNN BOLDIZSAR MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****40

License Status

ACTIVE

Business

Title

First Name

STACI

Middle

LYNN

Last Name

BOLDIZSAR

Business Name

STACI LYNN BOLDIZSAR MD

Original Issue Date

07/28/2014

Effective Date

04/09/2023

Expiration Date

07/31/2026

City

LA GRANGE PARK

State

Zip

60526

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/09/2023