STACIE RENEE GREGORY MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036142803

License Status

ACTIVE

Business

Title

First Name

STACIE

Middle

RENEE

Last Name

GREGORY

Business Name

STACIE RENEE GREGORY MD

Original Issue Date

03/28/2017

Effective Date

07/19/2023

Expiration Date

07/31/2026

City

SPRINGFIELD

State

Zip

62794

County

SANGAMON

Ever Disciplined

LastModifiedDate

07/19/2023