STEPHEN G VINCENT MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036083856

License Status

NOT RENEWED

Business

First Name

STEPHEN G

Last Name

VINCENT

Suffix

Business Name

STEPHEN G VINCENT MD

Original Issue Date

12/20/1991

Effective Date

12/20/1991

Expiration Date

07/31/1993

City

IDAHO FALLS

State

Zip

83402

County

IDAHO

Ever Disciplined

LastModifiedDate

09/20/2006