TONI LYNNE BRANSFORD MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****74

License Status

NOT RENEWED

Business

First Name

TONI

Middle

LYNNE

Last Name

BRANSFORD

Suffix

Business Name

TONI LYNNE BRANSFORD MD

Original Issue Date

08/31/1998

Effective Date

08/31/1998

Expiration Date

07/31/2002

City

WOOD RIVER

State

Zip

62095

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006