DANIEL KEITH SANFORD MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****89

License Status

NOT RENEWED

Business

First Name

DANIEL

Middle

KEITH

Last Name

SANFORD

Suffix

Business Name

DANIEL KEITH SANFORD MD

Original Issue Date

02/27/2003

Effective Date

12/15/2017

Expiration Date

09/30/2020

City

CARBONDALE

State

Zip

62902

County

JACKSON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021