TY STEIN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****00

License Status

ACTIVE

Business

First Name

Last Name

STEIN

Suffix

Business Name

TY STEIN MD

Original Issue Date

01/01/1997

Effective Date

06/30/2023

Expiration Date

07/31/2026

City

LAKE IN THE HILLS

State

Zip

60156

County

MCHENRY

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/30/2023