License holder summary

STACY ANN SHACKELFORD is a Physician - Physician & Surgeon licensed to practice in Utah. The address on file for STACY ANN SHACKELFORD is ELKRIDGE, MD 21075. This licensed professional license is current. The license was granted 12/22/1994 and expired on 01/31/2016.

Utah

Division of Occupational and Professional Licensing

STACY ANN SHACKELFORD
Physician - Physician & Surgeon
License number
280123-1205
Date granted
12/22/1994
Date expires
01/31/2016
Class
Physician - Physician & Surgeon
Status
Active
Address
ELKRIDGE, MD 21075
utahlicensing.org
ID 29934893
LAST UPDATED 2024-03-19 22:43:15 UTC

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