JONATHAN J STAKE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****74

License Status

ACTIVE

Business

First Name

JONATHAN J

Last Name

STAKE

Suffix

Business Name

JONATHAN J STAKE MD

Original Issue Date

07/07/1994

Effective Date

07/06/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60618

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/06/2023