DIANE M RADFORD MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036078976

License Status

INACTIVE

Business

First Name

DIANE M

Last Name

RADFORD

Suffix

Business Name

DIANE M RADFORD MD

Original Issue Date

06/09/1989

Effective Date

06/09/1989

Expiration Date

07/31/1996

City

ST LOUIS

State

Zip

63141

County

MISSOURI

Ever Disciplined

LastModifiedDate

10/29/2015