STEPHEN BIR EVANS MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125048575

License Status

EXPIRED

Business

First Name

STEPHEN

Middle

BIR

Last Name

EVANS

Suffix

Business Name

STEPHEN BIR EVANS MD

Original Issue Date

07/01/2004

Effective Date

07/01/2004

Expiration Date

06/30/2005

City

SPRINGFIELD

State

Zip

62794

County

SANGAMON

Specialty/Qualifier

Hand Surgery(Plastic)

Ever Disciplined

LastModifiedDate

09/22/2006