STEPHANIE ANN HERATY MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****79

License Status

ACTIVE

Business

First Name

STEPHANIE

Middle

ANN

Last Name

HERATY

Suffix

Business Name

STEPHANIE ANN HERATY MD

Original Issue Date

12/20/2007

Effective Date

05/13/2023

Expiration Date

07/31/2026

City

EVANSTON

State

Zip

60201

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/13/2023