DEE MASON STUMPHY MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****53

License Status

CANCELLED

Business

First Name

DEE

Middle

MASON

Last Name

STUMPHY

Suffix

Business Name

DEE MASON STUMPHY MD

Original Issue Date

11/17/1998

Effective Date

11/17/1998

Expiration Date

07/31/2002

City

ROCK ISLAND

State

Zip

61201

County

ROCK ISLAND

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006