BAILEY STEPHANIE SU MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****21

License Status

NOT RENEWED

Business

Title

First Name

BAILEY

Middle

STEPHANIE

Last Name

Business Name

BAILEY STEPHANIE SU MD

Original Issue Date

07/30/2018

Effective Date

08/18/2020

Expiration Date

07/31/2023

City

CHICAGO

State

Zip

60637

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

11/30/2023