STACEY A SMITH MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036086972

License Status

INACTIVE

Business

First Name

STACEY A

Last Name

SMITH

Suffix

Business Name

STACEY A SMITH MD

Original Issue Date

07/26/1993

Effective Date

07/26/1993

Expiration Date

07/31/2002

City

BROOKLYN

State

Zip

11204

County

NEW YORK

Ever Disciplined

LastModifiedDate

10/09/2006