RICHARD JAMES STORK MD - Medical Doctor License in North Carolina | # 036128984

RICHARD JAMES STORK MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036128984

License Status

NOT RENEWED

Business

N

Title

MD

First Name

RICHARD

Middle

JAMES

Last Name

STORK

Business Name

RICHARD JAMES STORK MD

Original Issue Date

09/19/2011

Effective Date

09/19/2011

Expiration Date

07/31/2014

State

NC

Ever Disciplined

N

LastModifiedDate

11/17/2014