JUAN C MACHANNAFORD MD - Medical Doctor License in Kentucky | # 036109257

JUAN C MACHANNAFORD MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036109257

License Status

NOT RENEWED

Business

N

Title

MD

First Name

JUAN

Middle

C

Last Name

MACHANNAFORD

Business Name

JUAN C MACHANNAFORD MD

Original Issue Date

05/16/2003

Effective Date

07/14/2008

Expiration Date

07/31/2011

State

KY

Ever Disciplined

N

LastModifiedDate

11/14/2011