License Directory

Jack Robert Stacey III

Active

California license A201262

License

Licensed by
Medical Board of California
License number
A201262
Status
Active (Current)
First issued
February 21, 2025
Expires
April 30, 2027
License holder
Jack Robert Stacey III
Entity type
Individual

Classifications

More from the license record

License type code
8002

Contact

2616 Cabrillo Pl
Carlsbad, CA 92008-1436
San Diego County