SCOTT LLOYD STEPHENS DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036121076

License Status

NOT RENEWED

Business

Title

First Name

SCOTT

Middle

LLOYD

Last Name

STEPHENS

Business Name

SCOTT LLOYD STEPHENS DO

Original Issue Date

06/03/2008

Effective Date

06/03/2008

Expiration Date

07/31/2011

City

EAST ISLIP

State

Zip

11730

County

NEW YORK

Ever Disciplined

LastModifiedDate

11/14/2011