STEPHEN JAFFE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036046009

License Status

NOT RENEWED

Business

First Name

STEPHEN

Last Name

JAFFE

Suffix

Business Name

STEPHEN JAFFE MD

Original Issue Date

08/17/1972

Effective Date

08/17/1972

City

CARBONDALE

State

Zip

62901

County

JACKSON

Ever Disciplined

LastModifiedDate

09/20/2006