STACY THEODORE STEANS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****70

License Status

ACTIVE

Business

First Name

STACY THEODORE

Last Name

STEANS

Suffix

Business Name

STACY THEODORE STEANS MD

Original Issue Date

01/03/2024

Effective Date

01/03/2024

Expiration Date

07/31/2026

City

AMARILLO

State

Zip

79119

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/03/2024