STEVEN BROOKS STANDIFORD MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****15

License Status

NOT RENEWED

Business

First Name

STEVEN

Middle

BROOKS

Last Name

STANDIFORD

Suffix

Business Name

STEVEN BROOKS STANDIFORD MD

Original Issue Date

06/03/2009

Effective Date

07/19/2021

Expiration Date

07/31/2023

City

ZION

State

Zip

60099

County

LAKE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023