EDWARD TERRANCE STEVENS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****00

License Status

NOT RENEWED

Business

First Name

EDWARD TERRANCE

Last Name

STEVENS

Suffix

Business Name

EDWARD TERRANCE STEVENS MD

Original Issue Date

01/01/1997

Expiration Date

09/01/1982

City

GURNEE

State

Zip

60031

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006