FRANK J STEPHENS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****30

License Status

NOT RENEWED

Business

First Name

FRANK J

Last Name

STEPHENS

Suffix

Business Name

FRANK J STEPHENS MD

Original Issue Date

01/19/1984

Effective Date

06/27/2017

Expiration Date

09/30/2020

City

URBANA

State

Zip

61802

County

CHAMPAIGN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021