STEFANIE MARTIN DIAZ MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036094596

License Status

INACTIVE

Business

First Name

STEFANIE

Middle

MARTIN

Last Name

DIAZ

Suffix

Business Name

STEFANIE MARTIN DIAZ MD

Original Issue Date

12/09/1996

Effective Date

12/09/1996

Expiration Date

07/31/2005

City

TYLER

State

Zip

75707

County

TEXAS

Ever Disciplined

LastModifiedDate

04/18/2018