STACIE MICHELLE GRIFFIN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125054772

License Status

EXPIRED

Business

Title

First Name

STACIE

Middle

MICHELLE

Last Name

GRIFFIN

Business Name

STACIE MICHELLE GRIFFIN MD

Original Issue Date

07/01/2008

Effective Date

07/01/2008

Expiration Date

06/30/2011

City

BELLEVILLE

State

Zip

62220

County

SAINT CLAIR

Specialty/Qualifier

Family Practice

Ever Disciplined

LastModifiedDate

07/19/2011