STEPHANIE AMANDA RAYOS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****09

License Status

NOT RENEWED

Business

First Name

STEPHANIE

Middle

AMANDA

Last Name

RAYOS

Suffix

Business Name

STEPHANIE AMANDA RAYOS MD

Original Issue Date

07/13/2011

Effective Date

07/13/2011

Expiration Date

07/31/2014

City

TROY

State

Zip

48098

County

MICHIGAN

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014