STEPHEN GERARD POPHAL MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****46

License Status

ACTIVE

Business

First Name

STEPHEN GERARD

Last Name

POPHAL

Suffix

Business Name

STEPHEN GERARD POPHAL MD

Original Issue Date

05/19/1997

Effective Date

07/18/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60637

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/18/2023