MARK ALEXANDER STEFANIUK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****64

License Status

NOT RENEWED

Business

First Name

MARK

Middle

ALEXANDER

Last Name

STEFANIUK

Suffix

Business Name

MARK ALEXANDER STEFANIUK MD

Original Issue Date

11/26/2012

Effective Date

02/10/2016

Expiration Date

07/31/2017

City

PARK RIDGE

State

Zip

60068

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020