License holder summary

Stacey Lyle Zuck is a Medical - Physician And Surgeon licensed to practice in Minnesota. The address on file for Stacey Lyle Zuck is Gwinnett Oral & Maxillofacial Surgery, 945 River Centre Place - Suite 100, Lawrenceville, GA 30043. This doctor license is not current. The license was granted 03/08/1997 and expired on 03/31/2009.

Department of Safety and Professional Services

Board of Medical Practice

Stacey Lyle Zuck
Medical - Physician And Surgeon
License number
39610
Date granted
03/08/1997
Date expires
03/31/2009
Class
Medical - Physician And Surgeon
Status
Canceled
Address
Gwinnett Oral & Maxillofacial Surgery, 945 River Centre Place - Suite 100, Lawrenceville, GA 30043
doctorsminnesota.org
ID 22342165
LAST UPDATED 2024-04-02 22:32:08 UTC

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