STEPHANIE ANN VAN ULFT MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****27

License Status

ACTIVE

Business

First Name

STEPHANIE

Middle

ANN

Last Name

VAN ULFT

Suffix

Business Name

STEPHANIE ANN VAN ULFT MD

Original Issue Date

01/03/2000

Effective Date

04/10/2023

Expiration Date

07/31/2026

City

SPRINGFIELD

State

Zip

62701

County

SANGAMON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/10/2023