DONALD J STEPHENSON Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****61

License Status

NOT RENEWED

Business

First Name

DONALD

Middle

Last Name

STEPHENSON

Business Name

DONALD J STEPHENSON

Original Issue Date

02/26/2001

Effective Date

02/26/2001

Expiration Date

03/01/2002

City

PEORIA

State

Zip

61605

County

PEORIA

Ever Disciplined

LastModifiedDate

10/09/2006