KENNETH STEVENS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036072484

License Status

NOT RENEWED

Business

First Name

KENNETH

Last Name

STEVENS

Suffix

Business Name

KENNETH STEVENS MD

Original Issue Date

04/03/1986

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

SAN LUIS OBISPO

State

Zip

93401

Ever Disciplined

LastModifiedDate

11/06/2008