STEPHANIE ANN VAN ULFT MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036101761

License Status

ACTIVE

Business

First Name

STEPHANIE

Middle

ANN

Last Name

VAN ULFT

Suffix

Business Name

STEPHANIE ANN VAN ULFT MD

Original Issue Date

12/30/1999

Effective Date

04/10/2023

Expiration Date

07/31/2026

City

SPRINGFIELD

State

Zip

62701

County

SANGAMON

Ever Disciplined

LastModifiedDate

04/10/2023