BRENDAN CURRAN STACK, JR. MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036151806

License Status

INACTIVE

Business

Title

First Name

BRENDAN

Middle

CURRAN

Last Name

STACK, JR.

Business Name

BRENDAN CURRAN STACK, JR. MD

Original Issue Date

02/11/2020

Effective Date

08/05/2020

Expiration Date

07/31/2023

City

SPRINGFIELD

State

Zip

62711

Ever Disciplined

LastModifiedDate

05/19/2023