STEPHEN WILDER MONTGOMERY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036050499

License Status

NOT RENEWED

Business

First Name

STEPHEN WILDER

Last Name

MONTGOMERY

Suffix

Business Name

STEPHEN WILDER MONTGOMERY MD

Original Issue Date

01/30/1975

Effective Date

01/30/1975

City

WASHINGTON

State

Zip

20026

County

DISTRICT OF COLUMBIA

Ever Disciplined

LastModifiedDate

09/20/2006