STEPHAN KRAELING MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****93

License Status

CANCELLED

Business

First Name

STEPHAN

Last Name

KRAELING

Suffix

Business Name

STEPHAN KRAELING MD

Original Issue Date

02/20/1996

Effective Date

02/20/1996

Expiration Date

07/31/2002

City

SAVANNA

State

Zip

61074

County

CARROLL

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006