STACY W GRAY Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036106305

License Status

NOT RENEWED

Business

First Name

STACY

Middle

Last Name

GRAY

Business Name

STACY W GRAY

Original Issue Date

02/15/2002

Effective Date

02/15/2002

Expiration Date

07/31/2005

City

SIERRA MADRE

State

Zip

91024

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

12/19/2016