MARK T STEVENS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036059736

License Status

NOT RENEWED

Business

First Name

MARK T

Last Name

STEVENS

Suffix

Business Name

MARK T STEVENS MD

Original Issue Date

11/09/1979

Effective Date

11/09/1979

Expiration Date

07/31/1987

City

SAN DIEGO

State

Zip

92128

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

09/20/2006

Case Number

1990001051

Action

Probation

Discipline Start Date

10/16/1990

Discipline End Date

06/11/1993

Discipline Reason

Disciplined in Kentucky for substance abuse in December 1986.