STACEY A POGUE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036118001

License Status

NOT RENEWED

Business

Title

First Name

STACEY

Middle

Last Name

POGUE

Business Name

STACEY A POGUE MD

Original Issue Date

04/03/2007

Effective Date

07/16/2008

Expiration Date

07/31/2011

City

QUINCY

State

Zip

62301

County

ADAMS

Ever Disciplined

LastModifiedDate

11/14/2011