STEPHANIE LEE LABOMASCUS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****09

License Status

NOT RENEWED

Business

Title

First Name

STEPHANIE

Middle

LEE

Last Name

LABOMASCUS

Business Name

STEPHANIE LEE LABOMASCUS MD

Original Issue Date

06/18/2015

Effective Date

05/01/2017

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021