LLOYD EDWIN STAMBAUGH III MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****38

License Status

NOT RENEWED

Business

First Name

LLOYD

Middle

EDWIN

Last Name

STAMBAUGH

Suffix

III MD

Business Name

LLOYD EDWIN STAMBAUGH III MD

Original Issue Date

01/07/2000

Effective Date

01/07/2000

Expiration Date

07/31/2005

City

FAIRVIEW HEIGHTS

State

Zip

62208

County

SAINT CLAIR

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006