J STEPHEN MARSHALL MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125015745

License Status

EXPIRED

Business

First Name

J STEPHEN

Last Name

MARSHALL

Suffix

Business Name

J STEPHEN MARSHALL MD

Original Issue Date

06/15/1983

Effective Date

06/15/1983

Expiration Date

07/01/1985

City

PEORIA

State

Zip

61637

County

PEORIA

Specialty/Qualifier

Addiction Psychiatry

Ever Disciplined

LastModifiedDate

09/22/2006