MAXIMILLIAN EDWA STACHURA MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036048358

License Status

INACTIVE

Business

First Name

MAXIMILLIAN EDWA

Last Name

STACHURA

Suffix

Business Name

MAXIMILLIAN EDWA STACHURA MD

Original Issue Date

09/19/1973

Effective Date

09/19/1973

Expiration Date

07/31/1987

City

AUGUSTA

State

Zip

30909

County

GEORGIA

Ever Disciplined

LastModifiedDate

09/20/2006