STEPHANIE BETH HAMPEL KELLY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****49

License Status

NOT RENEWED

Business

Title

First Name

STEPHANIE

Middle

BETH HAMPEL

Last Name

KELLY

Business Name

STEPHANIE BETH HAMPEL KELLY MD

Original Issue Date

05/11/2020

Effective Date

05/11/2020

Expiration Date

07/31/2023

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023