STEPHEN JOHN GARRISON MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125054017

License Status

EXPIRED

Business

First Name

STEPHEN

Middle

JOHN

Last Name

GARRISON

Suffix

Business Name

STEPHEN JOHN GARRISON MD

Original Issue Date

06/26/2011

Effective Date

06/26/2011

Expiration Date

06/25/2013

City

SPRINGFIELD

State

Zip

62701

County

SANGAMON

Specialty/Qualifier

Diagnostic Radiology

Ever Disciplined

LastModifiedDate

10/07/2013