CHANTALE N STEPHENS ARCHER MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****82

License Status

ACTIVE

Business

Title

First Name

CHANTALE

Middle

Last Name

STEPHENS ARCHER

Business Name

CHANTALE N STEPHENS ARCHER MD

Original Issue Date

11/29/2012

Effective Date

04/12/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60653

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/12/2023