STEPHANIE A BOOTH Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036109794

License Status

NOT RENEWED

Business

First Name

STEPHANIE

Middle

Last Name

BOOTH

Business Name

STEPHANIE A BOOTH

Original Issue Date

07/29/2003

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

AUSTIN

State

Zip

78759

County

TEXAS

Ever Disciplined

LastModifiedDate

11/06/2008