STACY MICHELLE SYRCLE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****87

License Status

NOT RENEWED

Business

Title

First Name

STACY

Middle

MICHELLE

Last Name

SYRCLE

Business Name

STACY MICHELLE SYRCLE MD

Original Issue Date

04/17/2014

Effective Date

04/17/2014

Expiration Date

07/31/2017

City

WEST ALLIS

State

Zip

53277

County

MCHENRY

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017