WILLIAM CLAYTON STAFFORD MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125050533

License Status

EXPIRED

Business

First Name

WILLIAM

Middle

CLAYTON

Last Name

STAFFORD

Suffix

Business Name

WILLIAM CLAYTON STAFFORD MD

Original Issue Date

10/01/2005

Effective Date

10/01/2005

Expiration Date

09/30/2008

City

CARBONDALE

State

Zip

62901

County

JACKSON

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

11/05/2008