JENNIFER A SPANIER-STIASNY DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****47

License Status

ACTIVE

Business

Title

First Name

JENNIFER

Middle

Last Name

SPANIER-STIASNY

Business Name

JENNIFER A SPANIER-STIASNY DO

Original Issue Date

06/13/2013

Effective Date

05/19/2023

Expiration Date

07/31/2026

City

GURNEE

State

Zip

60031

County

LAKE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/19/2023