RICHARD E STEPHENSON MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****31

License Status

ACTIVE

Business

First Name

RICHARD E

Last Name

STEPHENSON

Suffix

Business Name

RICHARD E STEPHENSON MD

Original Issue Date

10/04/1988

Effective Date

04/06/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60615

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/06/2023