MICHAEL CHARLES STEPHENS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****28

License Status

NOT RENEWED

Business

First Name

MICHAEL

Middle

CHARLES

Last Name

STEPHENS

Suffix

Business Name

MICHAEL CHARLES STEPHENS MD

Original Issue Date

03/25/2003

Effective Date

03/25/2003

Expiration Date

07/31/2005

City

GURNEE

State

Zip

60031

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006