STEVEN JAY LICHTENSTEIN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****51

License Status

NOT RENEWED

Business

First Name

STEVEN

Middle

JAY

Last Name

LICHTENSTEIN

Suffix

Business Name

STEVEN JAY LICHTENSTEIN MD

Original Issue Date

07/15/2005

Effective Date

06/14/2017

Expiration Date

09/30/2020

City

PEORIA

State

Zip

61615

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021