STEPHEN ROBERT PHLAUM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****39

License Status

NOT RENEWED

Business

First Name

STEPHEN

Middle

ROBERT

Last Name

PHLAUM

Suffix

Business Name

STEPHEN ROBERT PHLAUM MD

Original Issue Date

05/04/2000

Effective Date

05/04/2000

Expiration Date

07/31/2005

City

MARYVILLE

State

Zip

62062

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006