ALEX STEWART STAGNARO-GREEN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****82

License Status

NOT RENEWED

Business

Title

First Name

ALEX

Middle

STEWART

Last Name

STAGNARO-GREEN

Business Name

ALEX STEWART STAGNARO-GREEN MD

Original Issue Date

06/25/2014

Effective Date

10/08/2020

Expiration Date

07/31/2023

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023