PERRY WORTHINGTON STAFFORD MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036142146

License Status

NOT RENEWED

Business

Title

First Name

PERRY

Middle

WORTHINGTON

Last Name

STAFFORD

Business Name

PERRY WORTHINGTON STAFFORD MD

Original Issue Date

12/28/2016

Effective Date

07/27/2020

Expiration Date

07/31/2023

City

WICHITA

State

Zip

67206

Ever Disciplined

LastModifiedDate

11/30/2023