STEPHEN M DORMAN MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036074159

License Status

INACTIVE

Business

First Name

STEPHEN M

Last Name

DORMAN

Suffix

Business Name

STEPHEN M DORMAN MD

Original Issue Date

11/21/1986

Effective Date

11/21/1986

Expiration Date

07/31/1990

City

CORTARO

State

Zip

85652

County

ARIZONA

Ever Disciplined

LastModifiedDate

09/20/2006