STEPHANIE JANAE VAN BUREN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****34

License Status

ACTIVE

Business

Title

First Name

STEPHANIE

Middle

JANAE

Last Name

VAN BUREN

Business Name

STEPHANIE JANAE VAN BUREN MD

Original Issue Date

09/05/2024

Effective Date

09/05/2024

Expiration Date

07/31/2026

City

EVANSTON

State

Zip

60202

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/05/2024