KENDELL G STEPHENS DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125018782

License Status

EXPIRED

Business

First Name

KENDELL G

Last Name

STEPHENS

Suffix

Business Name

KENDELL G STEPHENS DO

Original Issue Date

06/26/1985

Effective Date

06/26/1985

Expiration Date

07/01/1988

City

BELLEVILLE

State

Zip

62220

County

SAINT CLAIR

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006