JUSTYNA BANCEREK STENGELE Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****78

License Status

ACTIVE

Business

First Name

JUSTYNA

Last Name

BANCEREK STENGELE

Business Name

JUSTYNA BANCEREK STENGELE

Original Issue Date

03/24/2003

Effective Date

06/08/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60612

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/08/2023