STEPHEN V HEADLEY Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****39

License Status

ACTIVE

Business

First Name

STEPHEN V

Last Name

HEADLEY

Business Name

STEPHEN V HEADLEY

Original Issue Date

07/31/2001

Effective Date

06/28/2023

Expiration Date

07/31/2026

City

WESTMONT

State

Zip

60559

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/28/2023