License holder summary

STACIE M WARD is a Graduate Medical Trainee licensed to practice in Pennsylvania. The address on file for STACIE M WARD is Waverly NY 14892. This medical practitioner license is not current. The license was granted 11/27/2007 and expired on 12/02/2011.

Department of State

Board of Medicine

STACIE M WARD
Graduate Medical Trainee
License number
MT191913
Date granted
11/27/2007
Date expires
12/02/2011
Class
Graduate Medical Trainee
Status
Inactive
Address
Waverly NY 14892
medicinepa.com
ID 37577202
LAST UPDATED 2024-03-05 01:47:13 UTC

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