DARRELL R STACEY MD - Medical Doctor License in Utah | # 036065504

DARRELL R STACEY MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036065504

License Status

NOT RENEWED

Business

N

First Name

DARRELL R

Last Name

STACEY

Suffix

MD

Business Name

DARRELL R STACEY MD

Original Issue Date

10/18/1982

Effective Date

10/18/1982

Expiration Date

07/31/1987

State

UT

Ever Disciplined

N

LastModifiedDate

09/20/2006