KELLY J STANKIEWICZ MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****77

License Status

NOT RENEWED

Business

Title

First Name

KELLY

Middle

Last Name

STANKIEWICZ

Business Name

KELLY J STANKIEWICZ MD

Original Issue Date

08/16/2011

Effective Date

04/12/2017

Expiration Date

09/30/2020

City

NAPERVILLE

State

Zip

60563

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021