ANDREW FRANCIS STASIC MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036063116

License Status

NOT RENEWED

Business

First Name

ANDREW

Middle

FRANCIS

Last Name

STASIC

Suffix

Business Name

ANDREW FRANCIS STASIC MD

Original Issue Date

09/10/1981

Effective Date

06/24/2014

Expiration Date

07/31/2017

City

INDIANAPOLIS

State

Zip

46202

County

INDIANA

Ever Disciplined

LastModifiedDate

11/01/2017