STEPHEN F SPONTAK MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****14

License Status

ACTIVE

Business

First Name

STEPHEN

Middle

Last Name

SPONTAK

Suffix

Business Name

STEPHEN F SPONTAK MD

Original Issue Date

06/07/1993

Effective Date

05/03/2023

Expiration Date

07/31/2026

City

HOMER GLEN

State

Zip

60491

County

WILL

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/03/2023