PAUL ROBERT STEFANACCI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****48

License Status

NOT RENEWED

Business

First Name

PAUL

Middle

ROBERT

Last Name

STEFANACCI

Suffix

Business Name

PAUL ROBERT STEFANACCI MD

Original Issue Date

07/14/1999

Effective Date

07/14/1999

Expiration Date

07/31/2005

City

MAYWOOD

State

Zip

60153

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006