STEPHEN SIDWELL MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036055694

License Status

INACTIVE

Business

First Name

STEPHEN

Last Name

SIDWELL

Suffix

Business Name

STEPHEN SIDWELL MD

Original Issue Date

09/23/1977

Effective Date

05/09/2011

Expiration Date

07/31/2014

City

SIESTA KEY

State

Zip

34241

County

FLORIDA

Ever Disciplined

LastModifiedDate

04/08/2014