STEPHEN E KATZ MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036115101

License Status

NOT RENEWED

Business

First Name

STEPHEN

Middle

Last Name

KATZ

Suffix

Business Name

STEPHEN E KATZ MD

Original Issue Date

01/12/2006

Effective Date

05/28/2008

Expiration Date

07/31/2011

City

CENTRALIA

State

Zip

62801

County

MARION

Ever Disciplined

LastModifiedDate

11/14/2011