STEPHANIE MAY WOOLLEY MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****08

License Status

ACTIVE

Business

Title

First Name

STEPHANIE

Middle

MAY

Last Name

WOOLLEY

Business Name

STEPHANIE MAY WOOLLEY MD

Original Issue Date

02/17/2021

Effective Date

04/15/2023

Expiration Date

07/31/2026

City

SPRINGFIELD

State

Zip

62769

County

SANGAMON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/15/2023