GEORGE PETER STACY MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036170032

License Status

ACTIVE

Business

Title

First Name

GEORGE

Middle

PETER

Last Name

STACY

Business Name

GEORGE PETER STACY MD

Original Issue Date

04/26/2024

Effective Date

04/26/2024

Expiration Date

07/31/2026

City

PROSPECT

State

Zip

40059

Ever Disciplined

LastModifiedDate

06/14/2024