STACY L SMITHSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036150800

License Status

NOT RENEWED

Business

Title

First Name

STACY

Middle

Last Name

SMITHSON

Business Name

STACY L SMITHSON MD

Original Issue Date

09/20/2019

Effective Date

09/20/2019

Expiration Date

09/30/2020

City

LEXINGTON

State

Zip

29073

Ever Disciplined

LastModifiedDate

01/14/2021