STANLEY MICHAEL BERRY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036133227

License Status

NOT RENEWED

Business

First Name

STANLEY

Middle

MICHAEL

Last Name

BERRY

Suffix

Business Name

STANLEY MICHAEL BERRY MD

Original Issue Date

06/11/2013

Effective Date

06/25/2014

Expiration Date

07/31/2017

City

ROYAL OAK

State

Zip

48067

County

MICHIGAN

Ever Disciplined

LastModifiedDate

11/01/2017