PAUL ROBERT STANLEY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036039489

License Status

NOT RENEWED

Business

First Name

PAUL ROBERT

Last Name

STANLEY

Suffix

Business Name

PAUL ROBERT STANLEY MD

Original Issue Date

11/25/1964

Effective Date

07/07/2020

Expiration Date

07/31/2023

City

DECATUR

State

Zip

62521

County

MACON

Ever Disciplined

LastModifiedDate

11/30/2023