DONNIE RAY STACY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036110971

License Status

NOT RENEWED

Business

First Name

DONNIE

Middle

RAY

Last Name

STACY

Suffix

Business Name

DONNIE RAY STACY MD

Original Issue Date

03/09/2004

Effective Date

04/07/2011

Expiration Date

07/31/2014

City

ASHLAND

State

Zip

41105

County

KENTUCKY

Ever Disciplined

LastModifiedDate

11/17/2014