STEPHANIE L GARRETT MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****04

License Status

NOT RENEWED

Business

First Name

STEPHANIE

Middle

Last Name

GARRETT

Suffix

Business Name

STEPHANIE L GARRETT MD

Original Issue Date

07/06/2001

Effective Date

07/10/2008

Expiration Date

07/31/2011

City

HINES

State

Zip

60141

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/10/2011