LACEY MARIE STELLE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036147440

License Status

ACTIVE

Business

First Name

LACEY

Middle

MARIE

Last Name

STELLE

Suffix

Business Name

LACEY MARIE STELLE MD

Original Issue Date

09/18/2018

Effective Date

06/08/2023

Expiration Date

07/31/2026

City

ROCKFORD

State

Zip

61104

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

06/08/2023