VIVIAN V SANFORD MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036068802

License Status

NOT RENEWED

Business

First Name

VIVIAN V

Last Name

SANFORD

Suffix

Business Name

VIVIAN V SANFORD MD

Original Issue Date

06/14/1984

Effective Date

06/14/1984

Expiration Date

07/31/1987

City

INDIANAPOLIS

State

Zip

46222

County

INDIANA

Ever Disciplined

LastModifiedDate

09/20/2006