ALEX A STANZIOLA Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****79

License Status

NOT RENEWED

Business

First Name

ALEX A

Last Name

STANZIOLA

Business Name

ALEX A STANZIOLA

Original Issue Date

05/16/2006

Effective Date

05/16/2006

Expiration Date

07/31/2008

City

ELK GROVE VILLAGE

State

Zip

60007

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020