JENNIE THOMAS STANFORD MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036172087

License Status

ACTIVE

Business

Title

First Name

JENNIE

Middle

THOMAS

Last Name

STANFORD

Business Name

JENNIE THOMAS STANFORD MD

Original Issue Date

09/21/2024

Effective Date

09/21/2024

Expiration Date

07/31/2026

City

SAN FRANCISCO

State

Zip

94108

Ever Disciplined

LastModifiedDate

09/21/2024