MARK R STAMPEHL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036128842

License Status

NOT RENEWED

Business

Title

First Name

MARK

Middle

Last Name

STAMPEHL

Business Name

MARK R STAMPEHL MD

Original Issue Date

08/23/2011

Effective Date

05/19/2017

Expiration Date

09/30/2020

City

COLUMBIA

State

Zip

65201

County

BOONE

Ever Disciplined

LastModifiedDate

01/14/2021