STEPHANIE NICOLE LORTS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036146838

License Status

ACTIVE

Business

Title

First Name

STEPHANIE

Middle

NICOLE

Last Name

LORTS

Business Name

STEPHANIE NICOLE LORTS MD

Original Issue Date

07/09/2018

Effective Date

04/11/2023

Expiration Date

07/31/2026

City

GLEN CARBON

State

Zip

62034

County

MADISON

Ever Disciplined

LastModifiedDate

04/11/2023