BRADFORD J STEVENSON MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125058575

License Status

EXPIRED

Business

Title

First Name

BRADFORD

Middle

Last Name

STEVENSON

Business Name

BRADFORD J STEVENSON MD

Original Issue Date

06/26/2013

Effective Date

06/26/2013

Expiration Date

06/25/2015

City

SPRINGFIELD

State

Zip

62701

County

SANGAMON

Specialty/Qualifier

Urology

Ever Disciplined

LastModifiedDate

09/04/2015