JOHN WAYNE STEVENS MD - Medical Doctor License in Illinois | # 036019761

JOHN WAYNE STEVENS MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036019761

License Status

NOT RENEWED

Business

N

First Name

JOHN WAYNE

Last Name

STEVENS

Suffix

MD

Business Name

JOHN WAYNE STEVENS MD

Original Issue Date

01/01/1997

State

IL

Ever Disciplined

Y

LastModifiedDate

03/24/2007

Case Number

1975000007

Action

Revocation

Discipline Start Date

12/01/1975