KEITH RALPH STORTS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036152520

License Status

NOT RENEWED

Business

Title

First Name

KEITH

Middle

RALPH

Last Name

STORTS

Business Name

KEITH RALPH STORTS MD

Original Issue Date

04/09/2020

Effective Date

04/09/2020

Expiration Date

07/31/2023

City

ARLINGTON

State

Zip

76017

Ever Disciplined

LastModifiedDate

11/30/2023