STEPHANIE LYNN HERDER MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036117128

License Status

INACTIVE

Business

First Name

STEPHANIE

Middle

LYNN

Last Name

HERDER

Suffix

Business Name

STEPHANIE LYNN HERDER MD

Original Issue Date

11/02/2006

Effective Date

08/04/2008

Expiration Date

07/31/2011

City

LEXINGTON

State

Zip

40502

County

KENTUCKY

Ever Disciplined

LastModifiedDate

04/07/2011