STEPHEN S OUTTEN DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****80

License Status

NOT RENEWED

Business

First Name

STEPHEN

Middle

Last Name

OUTTEN

Suffix

Business Name

STEPHEN S OUTTEN DO

Original Issue Date

06/24/1999

Effective Date

07/14/2016

Expiration Date

07/31/2017

City

ROCKFORD

State

Zip

61103

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017