MARC DENTON STAM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****30

License Status

NOT RENEWED

Business

Title

First Name

MARC

Middle

DENTON

Last Name

STAM

Business Name

MARC DENTON STAM MD

Original Issue Date

12/02/2010

Effective Date

06/01/2011

Expiration Date

07/31/2014

City

WINCHESTER

State

Zip

22601

County

VIRGINIA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014