GARY L STAFFORD DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019021048

License Status

NOT RENEWED

Business

First Name

GARY

Middle

Last Name

STAFFORD

Suffix

DMD

Business Name

GARY L STAFFORD DMD

Original Issue Date

03/08/1988

Effective Date

09/02/2015

Expiration Date

09/30/2018

City

MILWAUKEE

State

Zip

53233

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/31/2018