LORETTA SUTPHIN STENZEL MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****21

License Status

CANCELLED

Business

First Name

LORETTA

Middle

SUTPHIN

Last Name

STENZEL

Suffix

Business Name

LORETTA SUTPHIN STENZEL MD

Original Issue Date

03/07/2005

Effective Date

03/07/2005

Expiration Date

07/31/2008

City

LOMBARD

State

Zip

60148

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/17/2008