STEPHEN FREDERICK WAWROSE MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036084965

License Status

INACTIVE

Business

First Name

STEPHEN

Middle

FREDERICK

Last Name

WAWROSE

Suffix

Business Name

STEPHEN FREDERICK WAWROSE MD

Original Issue Date

10/29/1992

Effective Date

10/29/1992

Expiration Date

07/31/1996

City

BELLEVILLE

State

Zip

62221

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

09/20/2006