STEPHEN JOSEPH JEPSEN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****59

License Status

NOT RENEWED

Business

First Name

STEPHEN JOSEPH

Last Name

JEPSEN

Suffix

Business Name

STEPHEN JOSEPH JEPSEN MD

Original Issue Date

10/15/1982

Effective Date

10/15/1982

Expiration Date

07/31/1987

City

MAYWOOD

State

Zip

60153

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006