STAFFORD AUSTIN CONWAY MD - Medical Doctor License in Tennessee | # 33*****06

STAFFORD AUSTIN CONWAY MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****06

License Status

NOT RENEWED

Business

N

Title

MD

First Name

STAFFORD

Middle

AUSTIN

Last Name

CONWAY

Business Name

STAFFORD AUSTIN CONWAY MD

Original Issue Date

12/31/2022

Effective Date

12/31/2022

Expiration Date

07/31/2023

State

TN

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

N

LastModifiedDate

11/30/2023