THOMAS G STAYSNIAK Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****83

License Status

NOT RENEWED

Business

First Name

THOMAS G

Last Name

STAYSNIAK

Business Name

THOMAS G STAYSNIAK

Original Issue Date

06/28/1991

Effective Date

06/28/1991

Expiration Date

01/31/1995

City

CHICAGO

State

Zip

60657

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/25/2006