DOUGLAS M STEVENS Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036092182

License Status

NOT RENEWED

Business

First Name

DOUGLAS M

Last Name

STEVENS

Business Name

DOUGLAS M STEVENS

Original Issue Date

11/21/1995

Effective Date

11/21/1995

Expiration Date

07/31/1999

City

GREAT LAKES

State

Zip

60088

County

LAKE

Ever Disciplined

LastModifiedDate

09/20/2006