MONIKA A STAROSTA Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****53

License Status

NOT RENEWED

Business

First Name

MONIKA

Middle

Last Name

STAROSTA

Business Name

MONIKA A STAROSTA

Original Issue Date

12/05/2008

Effective Date

12/05/2008

Expiration Date

07/31/2011

City

ROCKFORD

State

Zip

61104

County

WINNEBAGO

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020