WALTER D STEVENSON III MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036045685

License Status

NOT RENEWED

Business

First Name

WALTER

Middle

Last Name

STEVENSON

Suffix

III MD

Business Name

WALTER D STEVENSON III MD

Original Issue Date

06/16/1972

Effective Date

06/16/1972

Expiration Date

07/31/2002

City

QUINCY

State

Zip

62301

County

ADAMS

Ever Disciplined

LastModifiedDate

10/09/2006