THOMAS JANEWAY STAFFORD MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****18

License Status

NOT RENEWED

Business

First Name

THOMAS JANEWAY

Last Name

STAFFORD

Suffix

Business Name

THOMAS JANEWAY STAFFORD MD

Original Issue Date

01/01/1997

Expiration Date

07/31/1990

City

EVANSTON

State

Zip

60202

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2011