STEPHEN L MCCONNELL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036076046

License Status

NOT RENEWED

Business

Title

First Name

STEPHEN

Middle

Last Name

MCCONNELL

Business Name

STEPHEN L MCCONNELL MD

Original Issue Date

10/02/1987

Effective Date

07/14/2014

Expiration Date

07/31/2017

City

FORT WAYNE

State

Zip

46845

County

INDIANA

Ever Disciplined

LastModifiedDate

11/01/2017