STACY LYNN SATTOVIA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****07

License Status

NOT RENEWED

Business

First Name

STACY

Middle

LYNN

Last Name

SATTOVIA

Suffix

Business Name

STACY LYNN SATTOVIA MD

Original Issue Date

12/19/2005

Effective Date

06/25/2014

Expiration Date

07/31/2017

City

SPRINGFIELD

State

Zip

62794

County

SANGAMON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020