ROBERT RANDOLPH WATERFORD MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036109838

License Status

INACTIVE

Business

First Name

ROBERT

Middle

RANDOLPH

Last Name

WATERFORD

Suffix

Business Name

ROBERT RANDOLPH WATERFORD MD

Original Issue Date

08/04/2003

Effective Date

05/09/2011

Expiration Date

07/31/2014

City

WAILUKU MAUI

State

Zip

96793

County

HAWAII

Ever Disciplined

LastModifiedDate

04/08/2014