STACY DARLENE THOMAS DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036126582

License Status

NOT RENEWED

Business

First Name

STACY

Middle

DARLENE

Last Name

THOMAS

Suffix

Business Name

STACY DARLENE THOMAS DO

Original Issue Date

08/27/2010

Effective Date

10/01/2020

Expiration Date

07/31/2023

City

COPPELL

State

Zip

75019

County

DUPAGE

Ever Disciplined

LastModifiedDate

11/30/2023