COLLIER STEPHENS PACE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****29

License Status

NOT RENEWED

Business

Title

First Name

COLLIER

Middle

STEPHENS

Last Name

PACE

Business Name

COLLIER STEPHENS PACE MD

Original Issue Date

05/01/2017

Effective Date

05/01/2017

Expiration Date

09/30/2020

City

RICHMOND

State

Zip

23229

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021