GRAYDON FRANK STALLARD DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036132751

License Status

NOT RENEWED

Business

Title

First Name

GRAYDON

Middle

FRANK

Last Name

STALLARD

Business Name

GRAYDON FRANK STALLARD DO

Original Issue Date

05/07/2013

Effective Date

05/07/2013

Expiration Date

07/31/2014

City

CRAMERTON

State

Zip

28032

Ever Disciplined

LastModifiedDate

11/17/2014