SUSAN STROW STEGEMAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****01

License Status

NOT RENEWED

Business

First Name

SUSAN

Middle

STROW

Last Name

STEGEMAN

Suffix

Business Name

SUSAN STROW STEGEMAN MD

Original Issue Date

05/01/1985

Effective Date

05/01/1985

Expiration Date

07/31/1990

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020