CHRISTOPHER DAVID STEPHENSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****87

License Status

NOT RENEWED

Business

Title

First Name

CHRISTOPHER

Middle

DAVID

Last Name

STEPHENSON

Business Name

CHRISTOPHER DAVID STEPHENSON MD

Original Issue Date

05/31/1985

Effective Date

04/24/2017

Expiration Date

09/30/2020

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021