WILLIAM C SOUTHWORTH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036045684

License Status

NOT RENEWED

Business

First Name

WILLIAM C

Last Name

SOUTHWORTH

Suffix

Business Name

WILLIAM C SOUTHWORTH MD

Original Issue Date

06/16/1972

Effective Date

06/16/1972

City

KENSINGTON

State

Zip

94708

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

09/20/2006