RA NAE MARIE STANTON Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****29

License Status

NOT RENEWED

Business

First Name

RA NAE

Middle

MARIE

Last Name

STANTON

Business Name

RA NAE MARIE STANTON

Original Issue Date

05/30/2003

Effective Date

04/17/2014

Expiration Date

07/31/2017

City

QUINCY

State

Zip

62301

County

ADAMS

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017