MATTHEW FREDERICK SANFORD MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036121686

License Status

NOT RENEWED

Business

Title

First Name

MATTHEW

Middle

FREDERICK

Last Name

SANFORD

Business Name

MATTHEW FREDERICK SANFORD MD

Original Issue Date

08/07/2008

Effective Date

08/07/2008

Expiration Date

07/31/2011

City

SAINT PAUL

State

Zip

55101

County

MINNESOTA

Ever Disciplined

LastModifiedDate

11/14/2011