RICHARD D STAGL 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

First Name

RICHARD D

Last Name

STAGL

Suffix

Business Name

RICHARD D STAGL MD

Original Issue Date

11/26/2003

Effective Date

11/26/2003

Expiration Date

07/31/2005

City

EVANSTON

State

Zip

60201

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020