CHANTALE N STEPHENS ARCHER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****57

License Status

NOT RENEWED

Business

Title

First Name

CHANTALE

Middle

Last Name

STEPHENS ARCHER

Business Name

CHANTALE N STEPHENS ARCHER MD

Original Issue Date

03/27/2013

Effective Date

03/27/2013

Expiration Date

07/31/2014

City

DOWNERS GROVE

State

Zip

60515

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020