STEPHEN DAVID SMALL MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****80

License Status

ACTIVE

Business

First Name

STEPHEN

Middle

DAVID

Last Name

SMALL

Suffix

Business Name

STEPHEN DAVID SMALL MD

Original Issue Date

04/03/2000

Effective Date

08/26/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60637

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/26/2023