STANTON SOUTHWARD Podiatrist License verification

Business Entity

INACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016003149

License Status

INACTIVE

Business

First Name

STANTON

Last Name

SOUTHWARD

Business Name

STANTON SOUTHWARD

Original Issue Date

06/23/1980

Effective Date

06/23/1980

Expiration Date

01/31/1989

City

COLORADO SPRINGS

State

Zip

80909

County

COLORADO

Ever Disciplined

LastModifiedDate

09/25/2006