STEPHANIE MARIE FRONISTA-WARD MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125032041

License Status

EXPIRED

Business

First Name

STEPHANIE MARIE

Last Name

FRONISTA-WARD

Suffix

Business Name

STEPHANIE MARIE FRONISTA-WARD MD

Original Issue Date

06/29/1994

Effective Date

06/29/1994

Expiration Date

06/30/1997

City

BELLEVILLE

State

Zip

62220

County

SAINT CLAIR

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006