MARY E STAPEL MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****69

License Status

ACTIVE

Business

Title

First Name

MARY

Middle

Last Name

STAPEL

Business Name

MARY E STAPEL MD

Original Issue Date

05/23/2013

Effective Date

06/04/2023

Expiration Date

07/31/2026

City

CONGERVILLE

State

Zip

61729

County

PEORIA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/04/2023