STACY T SEYB MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036093101

License Status

NOT RENEWED

Business

First Name

STACY T

Last Name

SEYB

Suffix

Business Name

STACY T SEYB MD

Original Issue Date

06/06/1996

Effective Date

06/06/1996

Expiration Date

07/31/1999

City

LAKE OSWEGO

State

Zip

97035

County

OREGON

Ever Disciplined

LastModifiedDate

09/20/2006