STEPHANIE MILAM MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125079780

License Status

EXPIRED

Business

Title

First Name

STEPHANIE

Last Name

MILAM

Business Name

STEPHANIE MILAM MD

Original Issue Date

07/01/2022

Effective Date

07/01/2022

Expiration Date

06/30/2025

City

EDWARDSVILLE

State

Zip

62025

County

MADISON

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

11/03/2025