JAMES THOMAS STASIAK MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****71

License Status

ACTIVE

Business

First Name

JAMES THOMAS

Last Name

STASIAK

Suffix

Business Name

JAMES THOMAS STASIAK MD

Original Issue Date

03/06/1987

Effective Date

05/12/2023

Expiration Date

07/31/2026

City

BRIDGEVIEW

State

Zip

60455

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/12/2023