DAVID JONATHON STAHL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036118892

License Status

NOT RENEWED

Business

First Name

DAVID

Middle

JONATHON

Last Name

STAHL

Suffix

Business Name

DAVID JONATHON STAHL MD

Original Issue Date

07/06/2007

Effective Date

07/06/2007

Expiration Date

07/31/2008

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

11/06/2008