STACY A MCCONKEY MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036094767

License Status

INACTIVE

Business

First Name

STACY A

Last Name

MCCONKEY

Suffix

Business Name

STACY A MCCONKEY MD

Original Issue Date

02/05/1997

Effective Date

02/05/1997

Expiration Date

07/31/2002

City

GENESEO

State

Zip

61254

County

HENRY

Ever Disciplined

LastModifiedDate

06/06/2012