RYAN SANFORD PRUDOFF DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036160381

License Status

ACTIVE

Business

Title

First Name

RYAN

Middle

SANFORD

Last Name

PRUDOFF

Business Name

RYAN SANFORD PRUDOFF DO

Original Issue Date

04/25/2022

Effective Date

05/09/2023

Expiration Date

07/31/2026

City

GEORGETOWN

State

Zip

78628

County

WILLIAMSON

Ever Disciplined

LastModifiedDate

07/13/2023