STAFFORD AUSTIN CONWAY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036163098

License Status

NOT RENEWED

Business

Title

First Name

STAFFORD

Middle

AUSTIN

Last Name

CONWAY

Business Name

STAFFORD AUSTIN CONWAY MD

Original Issue Date

12/06/2022

Effective Date

12/06/2022

Expiration Date

07/31/2023

City

JOHNSON CITY

State

Zip

37604

County

WASHINGTON

Ever Disciplined

LastModifiedDate

11/30/2023