STEPHANIE A MORAN Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036101571

License Status

ACTIVE

Business

First Name

STEPHANIE

Middle

Last Name

MORAN

Business Name

STEPHANIE A MORAN

Original Issue Date

11/03/1999

Effective Date

05/25/2023

Expiration Date

07/31/2026

City

LAKE FOREST

State

Zip

60045

County

LAKE

Ever Disciplined

LastModifiedDate

05/25/2023