STEPHANIE A BAILEY MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****74

License Status

ACTIVE

Business

Title

First Name

STEPHANIE

Middle

Last Name

BAILEY

Business Name

STEPHANIE A BAILEY MD

Original Issue Date

06/20/2002

Effective Date

04/11/2023

Expiration Date

07/31/2026

City

CHAMPAIGN

State

Zip

61822

County

CHAMPAIGN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/11/2023