STEPHEN MICHAEL MEYER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****02

License Status

NOT RENEWED

Business

Title

First Name

STEPHEN

Middle

MICHAEL

Last Name

MEYER

Business Name

STEPHEN MICHAEL MEYER MD

Original Issue Date

10/04/2016

Effective Date

10/04/2016

Expiration Date

07/31/2017

City

CHICAGO

State

Zip

60608

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020