EDWIN LEE STOCK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036052803

License Status

NOT RENEWED

Business

First Name

EDWIN

Middle

LEE

Last Name

STOCK

Suffix

Business Name

EDWIN LEE STOCK MD

Original Issue Date

05/19/1976

Effective Date

05/19/1976

Expiration Date

07/31/2005

City

MEQUON

State

Zip

53092

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/09/2006