STEPHANIE MARIA MCCANN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****17

License Status

NOT RENEWED

Business

First Name

STEPHANIE

Middle

MARIA

Last Name

MCCANN

Suffix

Business Name

STEPHANIE MARIA MCCANN MD

Original Issue Date

04/04/2017

Effective Date

04/04/2017

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021