STEPHANIE MODERT DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****70

License Status

ACTIVE

Business

Title

First Name

STEPHANIE

Last Name

MODERT

Business Name

STEPHANIE MODERT DO

Original Issue Date

07/01/2025

Effective Date

07/01/2025

Expiration Date

07/31/2026

City

MOUNT VERNON

State

Zip

62864

County

JEFFERSON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/01/2025