| | Physician Last Name: | Stevens |
| | Physician First Name: | Michael |
| | Physician Middle Name: | E |
| | Address: | 2658 North San Lorenzo Drive
Apartment A
Nogales, Arizona 85621 |
| | License Number: | 216569 |
| | License Type: | MD |
| | Year of Birth: |
1968
|
| | Effective Date: | 05/11/2004 |
| | Action Description for DOH Webpage: | The physician agreed to not engage in the practice of medicine in New York State or any other jurisdiction where the practice of medicine is predicated on his New York State medical license until his Arizona medical license is fully restored without conditions and a modification order allowing him to practice is issued by the New York State Board for Professional Medical Conduct. |
| | Misconduct Description for DOH Webpage: | The physician did not contest the charge of having been disciplined by the Arizona State Medical Board for alcohol abuse. |
| | License Limitations or Conditions for DOH Webpage: | |
| | Board Order: |
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