STEPHEN J BELGRAVE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****20

License Status

ACTIVE

Business

First Name

STEPHEN J

Last Name

BELGRAVE

Suffix

Business Name

STEPHEN J BELGRAVE MD

Original Issue Date

10/24/1985

Effective Date

04/24/2023

Expiration Date

07/31/2026

City

BLOOMINGTON

State

Zip

61704

County

MCLEAN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/24/2023