MICHAEL M STACHOWSKI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****93

License Status

NOT RENEWED

Business

First Name

MICHAEL M

Last Name

STACHOWSKI

Suffix

Business Name

MICHAEL M STACHOWSKI MD

Original Issue Date

10/23/1981

Effective Date

06/25/2014

Expiration Date

07/31/2017

City

ORLAND PARK

State

Zip

60462

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017