CELIA C STENFORS DACRE Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****63

License Status

NOT RENEWED

Business

First Name

CELIA C

Last Name

STENFORS DACRE

Business Name

CELIA C STENFORS DACRE

Original Issue Date

07/17/1997

Effective Date

05/17/2019

Expiration Date

09/30/2020

City

DOWAGIAC

State

Zip

49047

County

CASS

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021