MARY STEFANIE VAMENTA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****15

License Status

ACTIVE

Business

Title

First Name

MARY

Middle

STEFANIE

Last Name

VAMENTA

Business Name

MARY STEFANIE VAMENTA MD

Original Issue Date

08/08/2023

Effective Date

08/08/2023

Expiration Date

07/31/2026

City

GLENVIEW

State

Zip

60026

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/08/2023