STEPHANIE MARIE GADBOIS MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125061147

License Status

CANCELLED

Business

Title

First Name

STEPHANIE

Middle

MARIE

Last Name

GADBOIS

Business Name

STEPHANIE MARIE GADBOIS MD

Original Issue Date

06/26/2012

Effective Date

06/26/2012

Expiration Date

06/25/2015

City

SPRINGFIELD

State

Zip

62703

County

SANGAMON

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

03/24/2014