STEPHEN JAMES LUCHTEFELD DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****22

License Status

ACTIVE

Business

Title

First Name

STEPHEN

Middle

JAMES

Last Name

LUCHTEFELD

Business Name

STEPHEN JAMES LUCHTEFELD DO

Original Issue Date

12/01/2017

Effective Date

07/08/2023

Expiration Date

07/31/2026

City

MARYVILLE

State

Zip

62062

County

MADISON

Specialty/Qualifier

PHARM DISTRIBUTOR

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/08/2023