PATRICK W STODOLA MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****87

License Status

CANCELLED

Business

Title

First Name

PATRICK

Middle

Last Name

STODOLA

Business Name

PATRICK W STODOLA MD

Original Issue Date

10/01/2003

Effective Date

10/01/2003

Expiration Date

07/31/2005

City

HOFFMAN ESTATES

State

Zip

60169

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2011