ANDREW FRANCIS STASIC MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****44

License Status

NOT RENEWED

Business

First Name

ANDREW

Middle

FRANCIS

Last Name

STASIC

Suffix

Business Name

ANDREW FRANCIS STASIC MD

Original Issue Date

05/13/1982

Effective Date

05/13/1982

Expiration Date

07/31/2005

City

CHICAGO

State

Zip

60629

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/12/2017