STEPHEN R AMESBURY 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

First Name

STEPHEN R

Last Name

AMESBURY

Suffix

Business Name

STEPHEN R AMESBURY MD

Original Issue Date

09/18/1990

Effective Date

04/19/2023

Expiration Date

07/31/2026

City

MELROSE PARK

State

Zip

60160

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/19/2023