STEPHANIE RUTH RICHELLE DIGGS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****30

License Status

ACTIVE

Business

Title

First Name

STEPHANIE

Middle

RUTH RICHELLE

Last Name

DIGGS

Business Name

STEPHANIE RUTH RICHELLE DIGGS MD

Original Issue Date

08/21/2023

Effective Date

08/21/2023

Expiration Date

07/31/2026

City

SHILOH

State

Zip

62269

County

SAINT CLAIR

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/21/2023