STANLEY R DRAKE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036074266

License Status

NOT RENEWED

Business

First Name

STANLEY R

Last Name

DRAKE

Suffix

Business Name

STANLEY R DRAKE MD

Original Issue Date

12/22/1986

Effective Date

12/22/1986

Expiration Date

07/31/2002

City

TERRE HAUTE

State

Zip

47807

County

INDIANA

Ever Disciplined

LastModifiedDate

10/09/2006