STACEY E HORSTMAN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036105499

License Status

ACTIVE

Business

First Name

STACEY

Middle

Last Name

HORSTMAN

Suffix

Business Name

STACEY E HORSTMAN MD

Original Issue Date

08/29/2001

Effective Date

07/15/2023

Expiration Date

07/31/2026

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Ever Disciplined

LastModifiedDate

07/15/2023