ANGELA KAY STORK MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****91

License Status

ACTIVE

Business

Title

First Name

ANGELA

Middle

KAY

Last Name

STORK

Business Name

ANGELA KAY STORK MD

Original Issue Date

06/16/2017

Effective Date

07/20/2023

Expiration Date

07/31/2026

City

SILVIS

State

Zip

61282

County

ROCK ISLAND

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/20/2023