CHRISTIAN D STEVENS MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****41

License Status

CANCELLED

Business

First Name

CHRISTIAN

Middle

Last Name

STEVENS

Suffix

Business Name

CHRISTIAN D STEVENS MD

Original Issue Date

05/06/2009

Effective Date

05/06/2009

Expiration Date

07/31/2011

City

SIOUX FALLS

State

Zip

57105

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2011