STEPHEN D PERSELL 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

First Name

STEPHEN

Middle

Last Name

PERSELL

Suffix

Business Name

STEPHEN D PERSELL MD

Original Issue Date

07/28/2003

Effective Date

04/23/2023

Expiration Date

07/31/2026

City

EVANSTON

State

Zip

60201

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/23/2023