STEVEN H PACKARD MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****92

License Status

NOT RENEWED

Business

First Name

STEVEN

Middle

Last Name

PACKARD

Suffix

Business Name

STEVEN H PACKARD MD

Original Issue Date

02/18/1997

Effective Date

06/17/2020

Expiration Date

07/31/2023

City

CHAMPAIGN

State

Zip

61822

County

VERMILION

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023