STEPHEN E HAWTHORNE 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

First Name

STEPHEN E

Last Name

HAWTHORNE

Suffix

Business Name

STEPHEN E HAWTHORNE MD

Original Issue Date

09/15/1986

Effective Date

07/17/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60647

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/17/2023