Susan Teresa Stakiw
ExpiredIllinois license 31*****62
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 31*****62
- Status
- Expired (Not Renewed)
- First issued
- September 25, 2001
- Expired
- September 30, 2004
- License holder
- Susan Teresa Stakiw
- Entity type
- Individual
Classifications
- Licensed Dentist Controlled Substance (Dental) Dental
More from the license record
- Controlled substance schedules
- II III IV V
- Current term began
- 09/25/2001
Other Illinois licenses under this name
-
IL
ExpiredWebster Groves, MOExpired Sep 30, 2009
-
IL
ExpiredNaperville, ILExpired Aug 19, 2006
Contact
La Grange, IL 60525
Cook County