STEPHANIE ELIZABETH PLACE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****65

License Status

ACTIVE

Business

Title

First Name

STEPHANIE

Middle

ELIZABETH

Last Name

PLACE

Business Name

STEPHANIE ELIZABETH PLACE MD

Original Issue Date

05/14/2013

Effective Date

04/06/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60616

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/06/2023