STANLEY J CHESLOCK MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036038771

License Status

INACTIVE

Business

First Name

STANLEY J

Last Name

CHESLOCK

Suffix

Business Name

STANLEY J CHESLOCK MD

Original Issue Date

11/26/1963

Effective Date

11/26/1963

Expiration Date

07/31/1987

City

IDAHO FALLS

State

Zip

83401

County

IDAHO

Ever Disciplined

LastModifiedDate

09/20/2006