STEPHANNIE MARIE BAEHL VOLLER MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****77

License Status

ACTIVE

Business

First Name

STEPHANNIE

Middle

MARIE

Last Name

BAEHL VOLLER

Suffix

Business Name

STEPHANNIE MARIE BAEHL VOLLER MD

Original Issue Date

04/29/2008

Effective Date

04/07/2023

Expiration Date

07/31/2026

City

KENILWORTH

State

Zip

60043

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2023