STEPHANIE MARIE FRONISTA-WARD MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036095580

License Status

NOT RENEWED

Business

First Name

STEPHANIE MARIE

Last Name

FRONISTA-WARD

Suffix

Business Name

STEPHANIE MARIE FRONISTA-WARD MD

Original Issue Date

06/04/1997

Effective Date

06/04/1997

Expiration Date

07/31/1999

City

BELLEVILLE

State

Zip

62226

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

09/20/2006