PATRICE L STATEN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036106866

License Status

ACTIVE

Business

First Name

PATRICE

Middle

Last Name

STATEN

Suffix

Business Name

PATRICE L STATEN MD

Original Issue Date

05/02/2002

Effective Date

07/08/2023

Expiration Date

07/31/2026

City

MARYVILLE

State

Zip

62062

County

MADISON

Ever Disciplined

LastModifiedDate

07/08/2023