STEPHANIE ANN GORHAM MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036123479

License Status

ACTIVE

Business

First Name

STEPHANIE

Middle

ANN

Last Name

GORHAM

Suffix

Business Name

STEPHANIE ANN GORHAM MD

Original Issue Date

05/19/2009

Effective Date

05/18/2023

Expiration Date

07/31/2026

City

BELVIDERE

State

Zip

61008

County

BOONE

Ever Disciplined

LastModifiedDate

05/18/2023