DONALD J STEPHENSON Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000744

License Status

NOT RENEWED

Business

First Name

DONALD

Middle

Last Name

STEPHENSON

Business Name

DONALD J STEPHENSON

Original Issue Date

02/06/1996

Effective Date

02/06/1996

Expiration Date

03/01/2002

City

CHILLICOTHE

State

Zip

61523

County

PEORIA

Ever Disciplined

LastModifiedDate

10/09/2006