STEPHANIE LYNN SIMPSON DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125073176

License Status

CANCELLED

Business

Title

First Name

STEPHANIE

Middle

LYNN

Last Name

SIMPSON

Business Name

STEPHANIE LYNN SIMPSON DO

Original Issue Date

07/01/2018

Effective Date

07/01/2018

Expiration Date

06/30/2021

City

O FALLON

State

Zip

62269

County

SAINT CLAIR

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

08/02/2018