STEPHEN ANTHONY DOLAN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****37

License Status

ACTIVE

Business

First Name

STEPHEN

Middle

ANTHONY

Last Name

DOLAN

Suffix

Business Name

STEPHEN ANTHONY DOLAN MD

Original Issue Date

01/26/1999

Effective Date

04/22/2023

Expiration Date

07/31/2026

City

URBANA

State

Zip

61802

County

CHAMPAIGN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/22/2023