GARY W STEPHENS DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125021268

License Status

EXPIRED

Business

First Name

GARY W

Last Name

STEPHENS

Suffix

Business Name

GARY W STEPHENS DO

Original Issue Date

06/11/1987

Effective Date

06/11/1987

Expiration Date

07/01/1990

City

CHICAGO

State

Zip

60615

County

COOK

Specialty/Qualifier

Obstetrics & Gynecology

Ever Disciplined

LastModifiedDate

09/22/2006