ANDRE BYARD STOVALL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036126343

License Status

NOT RENEWED

Business

Title

First Name

ANDRE

Middle

BYARD

Last Name

STOVALL

Business Name

ANDRE BYARD STOVALL MD

Original Issue Date

07/27/2010

Effective Date

06/28/2011

Expiration Date

07/31/2014

City

FORT WAYNE

State

Zip

46804

County

INDIANA

Ever Disciplined

LastModifiedDate

11/17/2014