MICHAEL CHARLES STEPHENS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036108510

License Status

NOT RENEWED

Business

First Name

MICHAEL

Middle

CHARLES

Last Name

STEPHENS

Suffix

Business Name

MICHAEL CHARLES STEPHENS MD

Original Issue Date

01/30/2003

Effective Date

01/30/2003

Expiration Date

07/31/2005

City

GURNEE

State

Zip

60031

County

LAKE

Ever Disciplined

LastModifiedDate

06/28/2012