FRED DALE STAHMANN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036045057

License Status

NOT RENEWED

Business

First Name

FRED DALE

Last Name

STAHMANN

Suffix

Business Name

FRED DALE STAHMANN MD

Original Issue Date

12/16/1971

Effective Date

12/16/1971

Expiration Date

07/01/1982

City

LEXINGTON

State

Zip

40503

County

KENTUCKY

Ever Disciplined

LastModifiedDate

09/20/2006