STEWART W GIFFORD MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036058623

License Status

INACTIVE

Business

First Name

STEWART W

Last Name

GIFFORD

Suffix

Business Name

STEWART W GIFFORD MD

Original Issue Date

05/17/1979

Effective Date

05/17/1979

Expiration Date

07/31/1987

City

GREEN BAY

State

Zip

54303

County

WISCONSIN

Ever Disciplined

LastModifiedDate

09/20/2006