CHRISTY DIANE STINE Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036111125

License Status

NOT RENEWED

Business

First Name

CHRISTY

Middle

DIANE

Last Name

STINE

Business Name

CHRISTY DIANE STINE

Original Issue Date

03/31/2004

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

SHREWSBURY

State

Zip

01545

Ever Disciplined

LastModifiedDate

11/06/2008