STEPHEN A BOPPART Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036111430

License Status

INACTIVE

Business

First Name

STEPHEN

Middle

Last Name

BOPPART

Business Name

STEPHEN A BOPPART

Original Issue Date

05/24/2004

Effective Date

04/17/2008

Expiration Date

07/31/2011

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

04/07/2011