JOHN WAYNE STEVENS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036019761

License Status

NOT RENEWED

Business

First Name

JOHN WAYNE

Last Name

STEVENS

Suffix

Business Name

JOHN WAYNE STEVENS MD

Original Issue Date

01/01/1997

City

DUQUOIN

State

Zip

62832

County

PERRY

Ever Disciplined

LastModifiedDate

03/24/2007

Case Number

1975000007

Action

Revocation

Discipline Start Date

12/01/1975