STACY RENEE SAMPSON DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

VISITING RESIDENT

License Number

188000310

License Status

EXPIRED

Business

Title

First Name

STACY

Middle

RENEE

Last Name

SAMPSON

Business Name

STACY RENEE SAMPSON DO

Original Issue Date

08/01/2008

Effective Date

08/01/2008

Expiration Date

01/31/2009

City

ROCK ISLAND

State

Zip

61201

County

ROCK ISLAND

Specialty/Qualifier

Family Practice

Ever Disciplined

LastModifiedDate

02/20/2009