STEPHANIE M LINDSTROM MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****18

License Status

ACTIVE

Business

First Name

STEPHANIE

Middle

Last Name

LINDSTROM

Suffix

Business Name

STEPHANIE M LINDSTROM MD

Original Issue Date

07/05/2000

Effective Date

04/07/2023

Expiration Date

07/31/2026

City

METAMORA

State

Zip

61548

County

WOODFORD

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2023