CAROL M STAFFORD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125016365

License Status

EXPIRED

Business

First Name

CAROL

Middle

Last Name

STAFFORD

Business Name

CAROL M STAFFORD

Original Issue Date

08/18/1983

Effective Date

08/18/1983

Expiration Date

09/01/1985

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

09/22/2006