WILLIAM FREDERICK SOUTHWORTH MD - Medical Doctor License in Missouri | # 036060822

WILLIAM FREDERICK SOUTHWORTH MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036060822

License Status

NOT RENEWED

Business

N

Title

MD

First Name

WILLIAM

Middle

FREDERICK

Last Name

SOUTHWORTH

Business Name

WILLIAM FREDERICK SOUTHWORTH MD

Original Issue Date

08/29/1980

Effective Date

08/10/2011

Expiration Date

07/31/2014

State

MO

Ever Disciplined

N

LastModifiedDate

11/17/2014