GORDON MARCUS STEPHENS DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036096358

License Status

NOT RENEWED

Business

First Name

GORDON MARCUS

Last Name

STEPHENS

Suffix

Business Name

GORDON MARCUS STEPHENS DO

Original Issue Date

08/07/1997

Effective Date

08/07/1997

Expiration Date

07/31/2005

City

GREENVILLE

State

Zip

62246

County

BOND

Ever Disciplined

LastModifiedDate

10/09/2006