STEPHEN PAQUELET MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****04

License Status

NOT RENEWED

Business

Title

First Name

STEPHEN

Last Name

PAQUELET

Business Name

STEPHEN PAQUELET MD

Original Issue Date

07/15/2022

Effective Date

07/15/2022

Expiration Date

07/31/2023

City

ROCK ISLAND

State

Zip

61201

County

ROCK ISLAND

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023