ANDREW COLIN STIFF MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125061927

License Status

CANCELLED

Business

Title

First Name

ANDREW

Middle

COLIN

Last Name

STIFF

Business Name

ANDREW COLIN STIFF MD

Original Issue Date

06/22/2012

Effective Date

06/22/2012

Expiration Date

06/21/2015

City

LANCASTER

State

Zip

43130

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

03/24/2014