GORDON MARCUS STEPHENS DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****22

License Status

NOT RENEWED

Business

First Name

GORDON MARCUS

Last Name

STEPHENS

Suffix

Business Name

GORDON MARCUS STEPHENS DO

Original Issue Date

08/11/1997

Effective Date

08/11/1997

Expiration Date

07/31/2005

City

GREENVILLE

State

Zip

62246

County

BOND

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006