STACIA LEE JONES Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

LIMITED MEDICAL TEMPORARY PERMIT

License Number

130000339

License Status

EXPIRED

Business

First Name

STACIA LEE

Last Name

JONES

Business Name

STACIA LEE JONES

Original Issue Date

07/31/1996

Effective Date

07/31/1996

Expiration Date

03/31/1997

City

ROCKFORD

State

Zip

61107

County

BOONE

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

02/25/2014