CHRISTINA MARIE STASKIEWICZ Podiatrist License verification

Business Entity

CANCELLED

License Type

Podiatrist

Description

TEMPORARY PODIATRIC PHYSICIAN

License Number

135000871

License Status

CANCELLED

Business

First Name

CHRISTINA

Middle

MARIE

Last Name

STASKIEWICZ

Business Name

CHRISTINA MARIE STASKIEWICZ

Original Issue Date

06/09/2015

Effective Date

07/01/2015

Expiration Date

06/30/2017

City

MAYWOOD

State

Zip

60153

County

COOK

Ever Disciplined

LastModifiedDate

06/09/2015