STEPHANIE NICOLE LORTS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****43

License Status

ACTIVE

Business

Title

First Name

STEPHANIE

Middle

NICOLE

Last Name

LORTS

Business Name

STEPHANIE NICOLE LORTS MD

Original Issue Date

10/23/2018

Effective Date

04/11/2023

Expiration Date

07/31/2026

City

GLEN CARBON

State

Zip

62034

County

MADISON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/11/2023