THOMAS JANEWAY STAFFORD MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036040334

License Status

INACTIVE

Business

First Name

THOMAS JANEWAY

Last Name

STAFFORD

Suffix

Business Name

THOMAS JANEWAY STAFFORD MD

Original Issue Date

05/23/1966

Effective Date

05/21/2008

Expiration Date

07/31/2011

City

EVANSTON

State

Zip

60202

County

COOK

Ever Disciplined

LastModifiedDate

04/07/2011