FORDYCE E STIVERS MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036119420

License Status

INACTIVE

Business

First Name

FORDYCE

Middle

Last Name

STIVERS

Suffix

Business Name

FORDYCE E STIVERS MD

Original Issue Date

09/19/2007

Effective Date

07/13/2011

Expiration Date

07/31/2014

City

ELDRIDGE

State

Zip

52748

County

IOWA

Ever Disciplined

LastModifiedDate

04/08/2014