ERIC J SUTPHEN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036082698

License Status

ACTIVE

Business

Title

First Name

ERIC

Middle

Last Name

SUTPHEN

Business Name

ERIC J SUTPHEN MD

Original Issue Date

06/21/1991

Effective Date

06/03/2023

Expiration Date

07/31/2026

City

FAIRVIEW HEIGHTS

State

Zip

62208

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

06/03/2023