DANIEL KEITH SANFORD MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036108680

License Status

NOT RENEWED

Business

First Name

DANIEL

Middle

KEITH

Last Name

SANFORD

Suffix

Business Name

DANIEL KEITH SANFORD MD

Original Issue Date

02/26/2003

Effective Date

11/09/2017

Expiration Date

09/30/2020

City

CARBONDALE

State

Zip

62902

County

JACKSON

Ever Disciplined

LastModifiedDate

01/14/2021