STEPHEN F ISRAEL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****95

License Status

NOT RENEWED

Business

Title

First Name

STEPHEN

Middle

Last Name

ISRAEL

Business Name

STEPHEN F ISRAEL MD

Original Issue Date

05/19/2010

Effective Date

06/15/2011

Expiration Date

07/31/2014

City

MOUNT CARMEL

State

Zip

62863

County

WABASH

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020