MICHAEL JOSEPH STADNYK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****62

License Status

NOT RENEWED

Business

Title

First Name

MICHAEL

Middle

JOSEPH

Last Name

STADNYK

Business Name

MICHAEL JOSEPH STADNYK MD

Original Issue Date

04/02/2019

Effective Date

04/02/2019

Expiration Date

09/30/2020

City

ANNA

State

Zip

62906

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021