STEFANO S STEFANI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****44

License Status

NOT RENEWED

Business

First Name

STEFANO S

Last Name

STEFANI

Suffix

Business Name

STEFANO S STEFANI MD

Original Issue Date

10/20/1986

Effective Date

10/20/1986

Expiration Date

07/31/1990

City

CHICAGO

State

Zip

60608

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006