MICHELLE MARIE HEPHNER DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****98

License Status

ACTIVE

Business

First Name

MICHELLE

Middle

MARIE

Last Name

HEPHNER

Suffix

Business Name

MICHELLE MARIE HEPHNER DO

Original Issue Date

08/28/2007

Effective Date

04/29/2023

Expiration Date

07/31/2026

City

GLEN ELLYN

State

Zip

60137

County

DUPAGE

Controlled Substance Schedule

I II III IV V

Ever Disciplined

LastModifiedDate

04/29/2023