MARY ALLISON STEPPING LUDOLPH Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****74

License Status

ACTIVE

Business

First Name

MARY ALLISON

Middle

STEPPING

Last Name

LUDOLPH

Business Name

MARY ALLISON STEPPING LUDOLPH

Original Issue Date

07/06/2005

Effective Date

05/10/2023

Expiration Date

07/31/2026

City

SPRINGFIELD

State

Zip

62703

County

SANGAMON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/10/2023