RICHARD JAMES STORK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036128984

License Status

NOT RENEWED

Business

Title

First Name

RICHARD

Middle

JAMES

Last Name

STORK

Business Name

RICHARD JAMES STORK MD

Original Issue Date

09/19/2011

Effective Date

09/19/2011

Expiration Date

07/31/2014

City

ASHEVILLE

State

Zip

28804

County

NORTH CAROLINA

Ever Disciplined

LastModifiedDate

11/17/2014