ANDREA K STONECIPHER MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125045497

License Status

EXPIRED

Business

First Name

ANDREA

Middle

Last Name

STONECIPHER

Suffix

Business Name

ANDREA K STONECIPHER MD

Original Issue Date

03/21/2003

Effective Date

03/21/2003

Expiration Date

04/03/2006

City

SPRINGFIELD

State

Zip

62794

County

SANGAMON

Specialty/Qualifier

Psychiatry

Ever Disciplined

LastModifiedDate

09/22/2006