ELISABETH M STAMBAUGH Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****12

License Status

NOT RENEWED

Business

First Name

ELISABETH M

Last Name

STAMBAUGH

Business Name

ELISABETH M STAMBAUGH

Original Issue Date

06/19/1997

Effective Date

06/19/1997

Expiration Date

07/31/1999

City

CHICAGO

State

Zip

60612

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006