STANTON SOUTHWARD - Podiatrist License in Colorado | # 016003149

STANTON SOUTHWARD

Business Entity

INACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016003149

License Status

INACTIVE

Business

N

First Name

STANTON

Last Name

SOUTHWARD

Business Name

STANTON SOUTHWARD

Original Issue Date

06/23/1980

Effective Date

06/23/1980

Expiration Date

01/31/1989

State

CO

Ever Disciplined

N

LastModifiedDate

09/25/2006