STEPHANIE MARIE KANITSCH MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036146735

License Status

ACTIVE

Business

Title

First Name

STEPHANIE

Middle

MARIE

Last Name

KANITSCH

Business Name

STEPHANIE MARIE KANITSCH MD

Original Issue Date

07/02/2018

Effective Date

04/23/2023

Expiration Date

07/31/2026

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Ever Disciplined

LastModifiedDate

04/23/2023