STEPHANIE ANNE LICHTOR MD Medical Doctor License verification

Business Entity

INOPERATIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****74

License Status

INOPERATIVE

Business

Title

First Name

STEPHANIE

Middle

ANNE

Last Name

LICHTOR

Business Name

STEPHANIE ANNE LICHTOR MD

Original Issue Date

08/16/2016

Effective Date

07/08/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/08/2023