RYAN SANFORD PRUDOFF DO - Medical Doctor License in Texas | # 036160381

RYAN SANFORD PRUDOFF DO

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036160381

License Status

ACTIVE

Business

N

Title

DO

First Name

RYAN

Middle

SANFORD

Last Name

PRUDOFF

Business Name

RYAN SANFORD PRUDOFF DO

Original Issue Date

04/25/2022

Effective Date

05/09/2023

Expiration Date

07/31/2026

State

TX

Ever Disciplined

N

LastModifiedDate

07/13/2023