DAVID W STEPHENSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036087387

License Status

NOT RENEWED

Business

First Name

DAVID

Middle

Last Name

STEPHENSON

Suffix

Business Name

DAVID W STEPHENSON MD

Original Issue Date

09/11/1993

Effective Date

09/11/1993

Expiration Date

07/31/2005

City

FREEPORT

State

Zip

61032

County

STEPHENSON

Ever Disciplined

LastModifiedDate

03/24/2007

Case Number

2005003458

Action

Revocation

Discipline Start Date

08/09/2006

Discipline Reason

Disciplined in the state of New York.