RICHARD E STEWART MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****84

License Status

NOT RENEWED

Business

First Name

RICHARD

Middle

Last Name

STEWART

Suffix

Business Name

RICHARD E STEWART MD

Original Issue Date

02/24/2004

Effective Date

02/24/2004

Expiration Date

07/31/2005

City

GRANITE CITY

State

Zip

62040

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2011