BONNIE E STEPHENS MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036100894

License Status

INACTIVE

Business

First Name

BONNIE

Middle

Last Name

STEPHENS

Suffix

Business Name

BONNIE E STEPHENS MD

Original Issue Date

08/05/1999

Effective Date

05/15/2008

Expiration Date

07/31/2011

City

PROVIDENCE

State

Zip

02905

County

RHODE ISLAND

Ever Disciplined

LastModifiedDate

04/07/2011