DOUGLAS S STEVENS Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085001302

License Status

ACTIVE

Business

First Name

DOUGLAS

Middle

Last Name

STEVENS

Business Name

DOUGLAS S STEVENS

Original Issue Date

12/27/1999

Effective Date

02/18/2026

Expiration Date

03/01/2028

City

WEST TERRE HAUTE

State

Zip

47885

Ever Disciplined

LastModifiedDate

02/18/2026