JUAN C MACHANNAFORD MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036109257

License Status

NOT RENEWED

Business

Title

First Name

JUAN

Middle

Last Name

MACHANNAFORD

Business Name

JUAN C MACHANNAFORD MD

Original Issue Date

05/16/2003

Effective Date

07/14/2008

Expiration Date

07/31/2011

City

ASHLAND

State

Zip

41101

Ever Disciplined

LastModifiedDate

11/14/2011