DAVID W STEPHENSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****27

License Status

NOT RENEWED

Business

First Name

DAVID

Middle

Last Name

STEPHENSON

Suffix

Business Name

DAVID W STEPHENSON MD

Original Issue Date

10/06/1993

Effective Date

10/06/1993

Expiration Date

07/31/2005

City

FREEPORT

State

Zip

61032

County

STEPHENSON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006