KADIE LOUISE STEPHENS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125086589

License Status

ACTIVE

Business

Title

First Name

KADIE

Middle

LOUISE

Last Name

STEPHENS

Business Name

KADIE LOUISE STEPHENS MD

Original Issue Date

07/01/2025

Effective Date

07/01/2025

Expiration Date

06/30/2028

City

PEORIA

State

Zip

61605

County

PEORIA

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

04/06/2025