STEPHANIE J BOYER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****02

License Status

NOT RENEWED

Business

First Name

STEPHANIE

Middle

Last Name

BOYER

Suffix

Business Name

STEPHANIE J BOYER MD

Original Issue Date

01/10/2002

Effective Date

04/17/2008

Expiration Date

07/31/2011

City

MEQUON

State

Zip

53092

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/10/2011