STEPHEN WAYNE WHITE DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****97

License Status

CANCELLED

Business

First Name

STEPHEN WAYNE

Last Name

WHITE

Suffix

Business Name

STEPHEN WAYNE WHITE DO

Original Issue Date

01/01/1997

Expiration Date

09/01/1982

City

MARSHALL

State

Zip

62441

County

CLARK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006