TRAVIS L STANFORD DC Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED CHIROPRACTIC PHYSICIAN

License Number

038007919

License Status

INACTIVE

Business

First Name

TRAVIS L

Last Name

STANFORD

Suffix

Business Name

TRAVIS L STANFORD DC

Original Issue Date

04/23/1996

Effective Date

04/23/1996

Expiration Date

07/31/1999

City

SIREN

State

Zip

54872

County

WISCONSIN

Ever Disciplined

LastModifiedDate

09/21/2006