STAN R RES, MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036046301

License Status

INACTIVE

Business

First Name

STAN

Middle

Last Name

RES,

Suffix

Business Name

STAN R RES, MD

Original Issue Date

08/17/1972

Effective Date

08/17/1972

Expiration Date

07/31/2002

City

SPRING VALLEY

State

Zip

61362

County

BUREAU

Ever Disciplined

LastModifiedDate

10/09/2006