STEPHEN ROBERT PHLAUM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036102216

License Status

NOT RENEWED

Business

First Name

STEPHEN

Middle

ROBERT

Last Name

PHLAUM

Suffix

Business Name

STEPHEN ROBERT PHLAUM MD

Original Issue Date

03/29/2000

Effective Date

03/29/2000

Expiration Date

07/31/2005

City

MARYVILLE

State

Zip

62062

County

MADISON

Ever Disciplined

LastModifiedDate

10/09/2006