STEPHEN FREDERICK WAWROSE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****69

License Status

NOT RENEWED

Business

First Name

STEPHEN

Middle

FREDERICK

Last Name

WAWROSE

Suffix

Business Name

STEPHEN FREDERICK WAWROSE MD

Original Issue Date

05/11/1993

Effective Date

05/11/1993

Expiration Date

07/31/1996

City

SCOTT AFB

State

Zip

62221

County

SAINT CLAIR

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

09/26/2006