GITANA STASKUS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036109743

License Status

NOT RENEWED

Business

First Name

GITANA

Last Name

STASKUS

Suffix

Business Name

GITANA STASKUS MD

Original Issue Date

07/18/2003

Effective Date

04/12/2017

Expiration Date

09/30/2020

City

PARK CITY

State

Zip

84098

County

UTAH

Ever Disciplined

LastModifiedDate

01/14/2021