PERRY WORTHINGTON STAFFORD MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****26

License Status

NOT RENEWED

Business

Title

First Name

PERRY

Middle

WORTHINGTON

Last Name

STAFFORD

Business Name

PERRY WORTHINGTON STAFFORD MD

Original Issue Date

12/29/2016

Effective Date

01/16/2018

Expiration Date

09/30/2020

City

GROVELAND

State

Zip

34736

County

LAKE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021