STEPHEN BRADLEY LILLARD DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036058011

License Status

NOT RENEWED

Business

Title

First Name

STEPHEN

Middle

BRADLEY

Last Name

LILLARD

Business Name

STEPHEN BRADLEY LILLARD DO

Original Issue Date

10/30/1978

Effective Date

09/12/2017

Expiration Date

09/30/2020

City

SAINT CHARLES

State

Zip

63301

Ever Disciplined

LastModifiedDate

01/14/2021