STACY THEODORE STEANS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****66

License Status

NOT RENEWED

Business

First Name

STACY THEODORE

Last Name

STEANS

Suffix

Business Name

STACY THEODORE STEANS MD

Original Issue Date

11/08/2006

Effective Date

04/19/2018

Expiration Date

09/30/2020

City

EL PASO

State

Zip

79902

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021