STEPHEN F ISRAEL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****87

License Status

NOT RENEWED

Business

Title

First Name

STEPHEN

Middle

Last Name

ISRAEL

Business Name

STEPHEN F ISRAEL MD

Original Issue Date

10/02/2008

Effective Date

10/02/2008

Expiration Date

07/31/2011

City

LAWRENCEVILLE

State

Zip

62439

County

LAWRENCE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020