VENESSA STAS MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****16

NOT RENEWED

N

MD

VENESSA

STAS

VENESSA STAS MD

05/14/2009

04/15/2014

07/31/2017

PORTLAND

OR

97239

OREGON

PRACTITIONER

II III IV V

N

11/01/2017