STEPHEN L MERRILL MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****21

License Status

ACTIVE

Business

First Name

STEPHEN L

Last Name

MERRILL

Suffix

Business Name

STEPHEN L MERRILL MD

Original Issue Date

09/15/2006

Effective Date

07/04/2023

Expiration Date

07/31/2026

City

ROSCOE

State

Zip

61073

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/04/2023