LACEY MARIE STELLE MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125062172

License Status

EXPIRED

Business

First Name

LACEY

Middle

MARIE

Last Name

STELLE

Suffix

Business Name

LACEY MARIE STELLE MD

Original Issue Date

07/01/2015

Effective Date

07/01/2015

Expiration Date

06/30/2017

City

RIVA

State

Zip

21140

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

09/19/2017