ANDRIANNA ANTOINETTE STEPHENS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****66

License Status

ACTIVE

Business

Title

First Name

ANDRIANNA

Middle

ANTOINETTE

Last Name

STEPHENS

Business Name

ANDRIANNA ANTOINETTE STEPHENS MD

Original Issue Date

05/30/2023

Effective Date

05/30/2023

Expiration Date

07/31/2026

City

SPRINGFIELD

State

Zip

62701

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/30/2023