ASHLEY MICHELLE STEFFENS MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125064563

License Status

CANCELLED

Business

Title

First Name

ASHLEY

Middle

MICHELLE

Last Name

STEFFENS

Business Name

ASHLEY MICHELLE STEFFENS MD

Original Issue Date

06/26/2017

Effective Date

06/26/2017

Expiration Date

06/25/2018

City

SPRINGFIELD

State

Zip

62701

County

SANGAMON

Specialty/Qualifier

Dermatology

Ever Disciplined

LastModifiedDate

03/22/2017