DAVID KEEGAN STOMBAUGH MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036155395

License Status

INACTIVE

Business

Title

First Name

DAVID

Middle

KEEGAN

Last Name

STOMBAUGH

Business Name

DAVID KEEGAN STOMBAUGH MD

Original Issue Date

01/25/2021

Effective Date

01/25/2021

Expiration Date

07/31/2023

City

CHARLOTTESVILLE

State

Zip

22908

Ever Disciplined

LastModifiedDate

05/04/2023