STEPHEN F ISRAEL 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

Title

First Name

STEPHEN

Middle

Last Name

ISRAEL

Business Name

STEPHEN F ISRAEL MD

Original Issue Date

12/14/2006

Effective Date

06/13/2011

Expiration Date

07/31/2014

City

FAIRFIELD

State

Zip

62837

County

WAYNE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020