STEPHANIE R EXUM Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036109625

License Status

NOT RENEWED

Business

First Name

STEPHANIE

Middle

Last Name

EXUM

Business Name

STEPHANIE R EXUM

Original Issue Date

07/01/2003

Effective Date

04/17/2008

Expiration Date

07/31/2011

City

CORNELIUS

State

Zip

28031

Ever Disciplined

LastModifiedDate

11/14/2011