CHARLES RAYMOND STEVENS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036118504

License Status

NOT RENEWED

Business

First Name

CHARLES

Middle

RAYMOND

Last Name

STEVENS

Suffix

Business Name

CHARLES RAYMOND STEVENS MD

Original Issue Date

05/29/2007

Effective Date

05/19/2008

Expiration Date

07/31/2011

City

CHICAGO

State

Zip

60614

County

COOK

Ever Disciplined

LastModifiedDate

11/14/2011