STEPHEN A BOPPART Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125040722

License Status

EXPIRED

Business

First Name

STEPHEN

Middle

Last Name

BOPPART

Business Name

STEPHEN A BOPPART

Original Issue Date

07/01/2000

Effective Date

07/01/2000

Expiration Date

06/30/2005

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006