STEPHEN J BELGRAVE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****19

License Status

NOT RENEWED

Business

First Name

STEPHEN J

Last Name

BELGRAVE

Suffix

Business Name

STEPHEN J BELGRAVE MD

Original Issue Date

10/21/1985

Effective Date

10/21/1985

Expiration Date

07/31/1987

City

NORMAL

State

Zip

61761

County

MCLEAN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020