STEVEN EDWARD FERN DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036122032

License Status

NOT RENEWED

Business

Title

First Name

STEVEN

Middle

EDWARD

Last Name

FERN

Business Name

STEVEN EDWARD FERN DO

Original Issue Date

10/03/2008

Effective Date

10/03/2008

Expiration Date

07/31/2011

City

WILDWOOD

State

Zip

63038

County

MISSOURI

Ever Disciplined

LastModifiedDate

11/14/2011