DAVID W STEPHENSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****97

License Status

NOT RENEWED

Business

First Name

DAVID

Middle

Last Name

STEPHENSON

Suffix

Business Name

DAVID W STEPHENSON MD

Original Issue Date

12/19/2001

Effective Date

12/19/2001

Expiration Date

07/31/2002

City

KANKAKEE

State

Zip

60901

County

KANKAKEE

Controlled Substance Schedule

II III IV

Ever Disciplined

LastModifiedDate

10/09/2006