ANDREA STAMPLEY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****14

License Status

NOT RENEWED

Business

First Name

ANDREA

Last Name

STAMPLEY

Suffix

Business Name

ANDREA STAMPLEY MD

Original Issue Date

06/22/1993

Effective Date

07/02/2014

Expiration Date

07/31/2017

City

CRESTHILL

State

Zip

60435

County

WILL

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017