JASON DANIEL STOKLOSA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****60

License Status

ACTIVE

Business

Title

First Name

JASON

Middle

DANIEL

Last Name

STOKLOSA

Business Name

JASON DANIEL STOKLOSA MD

Original Issue Date

07/19/2022

Effective Date

06/29/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/29/2023