EDWARD F STEPHENS III MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036041877

License Status

NOT RENEWED

Business

First Name

EDWARD F

Last Name

STEPHENS III

Suffix

Business Name

EDWARD F STEPHENS III MD

Original Issue Date

07/18/1968

Effective Date

07/18/1968

Expiration Date

07/31/1990

City

CENTRALIA

State

Zip

62801

County

MARION

Ever Disciplined

LastModifiedDate

09/20/2006