EDWARD J STANFORD MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036080278

License Status

NOT RENEWED

Business

First Name

EDWARD

Middle

Last Name

STANFORD

Suffix

Business Name

EDWARD J STANFORD MD

Original Issue Date

07/05/1990

Effective Date

05/31/2011

Expiration Date

07/31/2014

City

DELTA

State

Zip

81416

County

COLORADO

Ever Disciplined

LastModifiedDate

11/17/2014