KEVIN ULYSSE STEPHENS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****92

License Status

NOT RENEWED

Business

Title

First Name

KEVIN

Middle

ULYSSE

Last Name

STEPHENS

Business Name

KEVIN ULYSSE STEPHENS MD

Original Issue Date

06/14/2018

Effective Date

10/01/2020

Expiration Date

07/31/2023

City

CHICAGO

State

Zip

60607

County

MARYLAND

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023