STEPHANIE MARIE FRONISTA-WARD MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****25

License Status

NOT RENEWED

Business

First Name

STEPHANIE MARIE

Last Name

FRONISTA-WARD

Suffix

Business Name

STEPHANIE MARIE FRONISTA-WARD MD

Original Issue Date

06/10/1997

Effective Date

06/10/1997

Expiration Date

07/31/1999

City

RED BUD

State

Zip

62278

County

MONROE

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

09/26/2006