License holder summary

KEVIN WAYNE STEPHENS is a Board Of Medicine licensed to practice in Idaho. The address on file for KEVIN WAYNE STEPHENS is 2642 SALEM RD CHARLESTON IL 61920. This licensed professional license is not current. The license was granted 07/25/2006 and expired on 08/01/2008.

Idaho

Division of Occupational and Professional Licenses

KEVIN WAYNE STEPHENS
Board Of Medicine
License number
M-9650
Date granted
07/25/2006
Date expires
08/01/2008
Class
Board Of Medicine
Status
Canceled
Address
2642 SALEM RD CHARLESTON IL 61920
idaholicensing.com
ID 48348415
LAST UPDATED 2026-03-10 19:52:21 UTC

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