AMALIA JOANNE STEFANOU MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****63

License Status

NOT RENEWED

Business

Title

First Name

AMALIA

Middle

JOANNE

Last Name

STEFANOU

Business Name

AMALIA JOANNE STEFANOU MD

Original Issue Date

04/14/2011

Effective Date

04/14/2011

Expiration Date

07/31/2014

City

NORTHVILLE

State

Zip

48168

County

MICHIGAN

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

04/12/2017