SAMUEL E STEFFEN Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125042244

License Status

EXPIRED

Business

First Name

SAMUEL

Middle

Last Name

STEFFEN

Business Name

SAMUEL E STEFFEN

Original Issue Date

04/11/2001

Effective Date

04/11/2001

Expiration Date

04/10/2004

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006