STEPHEN R HOLTSFORD MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****11

License Status

ACTIVE

Business

Title

First Name

STEPHEN R

Last Name

HOLTSFORD

Business Name

STEPHEN R HOLTSFORD MD

Original Issue Date

10/15/2022

Effective Date

04/06/2023

Expiration Date

07/31/2026

City

ST CHARLES

State

Zip

60174

County

KANE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/06/2023