STEPHANIE JO MCGRATH BLAIR MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****22

License Status

ACTIVE

Business

First Name

STEPHANIE

Middle

Last Name

MCGRATH BLAIR

Suffix

Business Name

STEPHANIE JO MCGRATH BLAIR MD

Original Issue Date

12/16/2022

Effective Date

04/29/2023

Expiration Date

07/31/2026

City

ZACHARY

State

Zip

70791

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/29/2023