DOMINIC SANFORD MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036158647

License Status

NOT RENEWED

Business

Title

First Name

DOMINIC

Last Name

SANFORD

Business Name

DOMINIC SANFORD MD

Original Issue Date

10/29/2021

Effective Date

10/29/2021

Expiration Date

07/31/2023

City

SAINT LOUIS

State

Zip

63110

Ever Disciplined

LastModifiedDate

11/30/2023