MARK T STEVENS MD - Medical Doctor License in California | # 036059736

MARK T STEVENS MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036059736

License Status

NOT RENEWED

Business

N

First Name

MARK T

Last Name

STEVENS

Suffix

MD

Business Name

MARK T STEVENS MD

Original Issue Date

11/09/1979

Effective Date

11/09/1979

Expiration Date

07/31/1987

State

CA

Ever Disciplined

Y

LastModifiedDate

09/20/2006

Case Number

1990001051

Action

Revocation

Discipline Start Date

06/11/1993

Discipline Reason

Violating the terms of a previously ordered probation.