STEPHEN G TERRILL MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****95

License Status

CANCELLED

Business

First Name

STEPHEN G

Last Name

TERRILL

Suffix

Business Name

STEPHEN G TERRILL MD

Original Issue Date

12/21/1995

Effective Date

12/21/1995

Expiration Date

07/31/2005

City

MUPHSBORO

State

Zip

62766

County

MONROE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006