STEPHANIE ANNE FISHER 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

STEPHANIE

Middle

ANNE

Last Name

FISHER

Business Name

STEPHANIE ANNE FISHER

Original Issue Date

04/29/2020

Effective Date

04/07/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2023