MICHAEL WAYNE STEVENS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036163090

License Status

ACTIVE

Business

Title

First Name

MICHAEL

Middle

WAYNE

Last Name

STEVENS

Business Name

MICHAEL WAYNE STEVENS MD

Original Issue Date

12/05/2022

Effective Date

04/08/2023

Expiration Date

07/31/2026

City

PEORIA

State

Zip

61637

County

PEORIA

Ever Disciplined

LastModifiedDate

04/08/2023