RANDALL L STAHLY DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036081755

License Status

NOT RENEWED

Business

First Name

RANDALL L

Last Name

STAHLY

Suffix

Business Name

RANDALL L STAHLY DO

Original Issue Date

10/30/1990

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

CAPE GIRARDEAU

State

Zip

63702

Ever Disciplined

LastModifiedDate

11/06/2008