Dr. STACIE DOREEN GUMP
Medical Board - 35.Doctor Of Medicine
Ohio 35.081863 Inactive
This Ohio license was held by Dr. STACIE DOREEN GUMP. The license is no longer active. It was granted on 10/18/2002 and expired on 01/01/2005
LICENSE DETAILS
- License Number: 35.081863
- Category: 35.Doctor of Medicine
- Status: Inactive
- Date Granted: 10/18/2002 (over 21 years ago)
- Expiry Date: 01/01/2005 (over 19 years ago)
LOCATIONS
A Practice Address
P.O. Box 249, Waldorf, MD 20604