JEAN MARIE STEPHAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****00

License Status

NOT RENEWED

Business

Title

First Name

JEAN MARIE

Last Name

STEPHAN

Business Name

JEAN MARIE STEPHAN MD

Original Issue Date

02/27/2018

Effective Date

07/27/2020

Expiration Date

07/31/2023

City

CHICAGO

State

Zip

60610

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023