PETE D STAVRIDES MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036051991

License Status

NOT RENEWED

Business

Title

First Name

PETE

Middle

Last Name

STAVRIDES

Business Name

PETE D STAVRIDES MD

Original Issue Date

10/17/1975

Effective Date

07/09/2014

Expiration Date

07/31/2017

City

TROY

State

Zip

62294

County

MADISON

Ever Disciplined

LastModifiedDate

11/01/2017