STEPHANIE L MEHLIS Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****69

License Status

ACTIVE

Business

First Name

STEPHANIE

Middle

Last Name

MEHLIS

Business Name

STEPHANIE L MEHLIS

Original Issue Date

02/02/2007

Effective Date

04/11/2023

Expiration Date

07/31/2026

City

SKOKIE

State

Zip

60077

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/11/2023