STEPHANIE LYNN CAMPBELL MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125069563

License Status

EXPIRED

Business

Title

First Name

STEPHANIE

Middle

LYNN

Last Name

CAMPBELL

Business Name

STEPHANIE LYNN CAMPBELL MD

Original Issue Date

07/01/2016

Effective Date

07/01/2016

Expiration Date

06/30/2019

City

PEORIA

State

Zip

61605

County

PEORIA

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

10/02/2019