STEPHANIE MABRY PERKINS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****29

License Status

ACTIVE

Business

Title

First Name

STEPHANIE

Middle

MABRY

Last Name

PERKINS

Business Name

STEPHANIE MABRY PERKINS MD

Original Issue Date

08/15/2013

Effective Date

05/25/2023

Expiration Date

07/31/2026

City

ALTON

State

Zip

62002

County

MADISON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/25/2023