ROBERT SCOTT STALL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036114645

License Status

NOT RENEWED

Business

First Name

ROBERT

Middle

SCOTT

Last Name

STALL

Suffix

Business Name

ROBERT SCOTT STALL MD

Original Issue Date

09/22/2005

Effective Date

07/17/2017

Expiration Date

09/30/2020

City

SAINT PETERSBURG

State

Zip

33712

County

FLORIDA

Ever Disciplined

LastModifiedDate

01/14/2021