STEPHEN MICHAEL STONE Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****60

License Status

NOT RENEWED

Business

First Name

STEPHEN

Middle

MICHAEL

Last Name

STONE

Business Name

STEPHEN MICHAEL STONE

Original Issue Date

02/08/2005

Effective Date

02/08/2005

Expiration Date

03/01/2008

City

PEORIA

State

Zip

61602

County

PEORIA

Ever Disciplined

LastModifiedDate

10/31/2007