STACEY ISHMAN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****09

License Status

ACTIVE

Business

Title

First Name

STACEY

Last Name

ISHMAN

Business Name

STACEY ISHMAN MD

Original Issue Date

06/09/2022

Effective Date

07/29/2023

Expiration Date

07/31/2026

City

MONTGOMERY

State

Zip

45242

County

HAMILTON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/29/2023