JEFFREY G STOVALL MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036078564

License Status

INACTIVE

Business

First Name

JEFFREY G

Last Name

STOVALL

Suffix

Business Name

JEFFREY G STOVALL MD

Original Issue Date

03/14/1989

Effective Date

03/14/1989

Expiration Date

07/31/1996

City

WORCESTER

State

Zip

01602

County

MASSACHUSETTS

Ever Disciplined

LastModifiedDate

12/18/2007