TERESA F STEVENS Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****98

License Status

NOT RENEWED

Business

First Name

TERESA F

Last Name

STEVENS

Business Name

TERESA F STEVENS

Original Issue Date

09/14/1995

Effective Date

09/14/1995

Expiration Date

07/31/1999

City

LAKE FOREST

State

Zip

60045

County

LAKE

Controlled Substance Schedule

II III IV

Ever Disciplined

LastModifiedDate

09/26/2006