BRIAN ROBERT STAFEIL Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****50

License Status

NOT RENEWED

Business

First Name

BRIAN

Middle

ROBERT

Last Name

STAFEIL

Business Name

BRIAN ROBERT STAFEIL

Original Issue Date

07/17/2007

Effective Date

06/04/2008

Expiration Date

07/31/2011

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/10/2011