STEPHANIE RAE DEJONG MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036156946

License Status

ACTIVE

Business

Title

First Name

STEPHANIE

Middle

RAE

Last Name

DEJONG

Business Name

STEPHANIE RAE DEJONG MD

Original Issue Date

05/14/2021

Effective Date

06/08/2023

Expiration Date

07/31/2026

City

PEORIA

State

Zip

61637

County

PEORIA

Ever Disciplined

LastModifiedDate

06/08/2023