RICHARD E STEPHENSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****33

License Status

NOT RENEWED

Business

First Name

RICHARD E

Last Name

STEPHENSON

Suffix

Business Name

RICHARD E STEPHENSON MD

Original Issue Date

01/02/1991

Effective Date

01/02/1991

Expiration Date

07/31/1996

City

CHICAGO

State

Zip

60617

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020