STACEY A SMITH MD - Medical Doctor License in New York | # 036086972

STACEY A SMITH MD

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036086972

License Status

INACTIVE

Business

N

First Name

STACEY A

Last Name

SMITH

Suffix

MD

Business Name

STACEY A SMITH MD

Original Issue Date

07/26/1993

Effective Date

07/26/1993

Expiration Date

07/31/2002

State

NY

Ever Disciplined

N

LastModifiedDate

10/09/2006