GREGORY B STEPHENSON - Physician Assistant License in Illinois | # 085000611

GREGORY B STEPHENSON

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000611

License Status

NOT RENEWED

Business

N

First Name

GREGORY

Middle

B

Last Name

STEPHENSON

Business Name

GREGORY B STEPHENSON

Original Issue Date

04/25/1994

Effective Date

02/21/2012

Expiration Date

03/01/2014

State

IL

Ever Disciplined

N

LastModifiedDate

01/25/2017