DARRELL R STACEY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036065504

License Status

NOT RENEWED

Business

First Name

DARRELL R

Last Name

STACEY

Suffix

Business Name

DARRELL R STACEY MD

Original Issue Date

10/18/1982

Effective Date

10/18/1982

Expiration Date

07/31/1987

City

KAYSVILLE

State

Zip

84037

County

UTAH

Ever Disciplined

LastModifiedDate

09/20/2006