STACIE BREWER GRIFFIS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****78

License Status

ACTIVE

Business

Title

First Name

STACIE

Middle

BREWER

Last Name

GRIFFIS

Business Name

STACIE BREWER GRIFFIS MD

Original Issue Date

05/15/2014

Effective Date

06/23/2023

Expiration Date

07/31/2026

City

MARYVILLE

State

Zip

62062

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/23/2023