TIMOTHY PAUL STAUDACHER MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****62

License Status

ACTIVE

Business

First Name

TIMOTHY PAUL

Last Name

STAUDACHER

Suffix

Business Name

TIMOTHY PAUL STAUDACHER MD

Original Issue Date

10/27/1992

Effective Date

06/30/2023

Expiration Date

07/31/2026

City

ELBURN

State

Zip

60119

County

KANE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/30/2023