STACIE LYNN SHEPHERD MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036121116

License Status

ACTIVE

Business

Title

First Name

STACIE

Middle

LYNN

Last Name

SHEPHERD

Business Name

STACIE LYNN SHEPHERD MD

Original Issue Date

06/06/2008

Effective Date

04/07/2023

Expiration Date

07/31/2026

City

YARDLEY

State

Zip

19067

Ever Disciplined

LastModifiedDate

04/07/2023