ERIC J SUTPHEN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****03

License Status

ACTIVE

Business

Title

First Name

ERIC

Middle

Last Name

SUTPHEN

Business Name

ERIC J SUTPHEN MD

Original Issue Date

08/14/2015

Effective Date

06/03/2023

Expiration Date

07/31/2026

City

FAIRVIEW HEIGHTS

State

Zip

62208

County

SAINT CLAIR

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/03/2023