STACEY ISHMAN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036160112

License Status

ACTIVE

Business

Title

First Name

STACEY

Last Name

ISHMAN

Business Name

STACEY ISHMAN MD

Original Issue Date

04/06/2022

Effective Date

07/29/2023

Expiration Date

07/31/2026

City

MONTGOMERY

State

Zip

45242

Ever Disciplined

LastModifiedDate

07/29/2023