STANLEY R DRAKE MD - Medical Doctor License in Indiana | # 036074266

STANLEY R DRAKE MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036074266

License Status

NOT RENEWED

Business

N

First Name

STANLEY R

Last Name

DRAKE

Suffix

MD

Business Name

STANLEY R DRAKE MD

Original Issue Date

12/22/1986

Effective Date

12/22/1986

Expiration Date

07/31/2002

State

IN

Ever Disciplined

N

LastModifiedDate

10/09/2006