CONNOR MICHAEL STEPHENSON MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****44

License Status

ACTIVE

Business

Title

First Name

CONNOR

Middle

MICHAEL

Last Name

STEPHENSON

Business Name

CONNOR MICHAEL STEPHENSON MD

Original Issue Date

10/19/2023

Effective Date

10/19/2023

Expiration Date

07/31/2026

City

CARBONDALE

State

Zip

62901

County

JACKSON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/19/2023