JULIE DONNELLY STARK MD - Medical Doctor License in Indiana | # 036121864

JULIE DONNELLY STARK MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036121864

License Status

NOT RENEWED

Business

N

First Name

JULIE

Middle

DONNELLY

Last Name

STARK

Suffix

MD

Business Name

JULIE DONNELLY STARK MD

Original Issue Date

08/27/2008

Effective Date

04/05/2011

Expiration Date

07/31/2014

State

IN

Ever Disciplined

N

LastModifiedDate

11/17/2014