DAVID WAYNE STOLLER MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036103835

License Status

ACTIVE

Business

First Name

DAVID

Middle

WAYNE

Last Name

STOLLER

Suffix

Business Name

DAVID WAYNE STOLLER MD

Original Issue Date

11/20/2000

Effective Date

04/07/2023

Expiration Date

07/31/2026

City

MILL VALLEY

State

Zip

94941

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

04/07/2023