STEPHEN W GANSHIRT MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****32

License Status

ACTIVE

Business

First Name

STEPHEN W

Last Name

GANSHIRT

Suffix

Business Name

STEPHEN W GANSHIRT MD

Original Issue Date

07/12/1994

Effective Date

04/07/2023

Expiration Date

07/31/2026

City

LAKE FOREST

State

Zip

60045

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2023