License holder summary

DOUGLAS L STANFORD is a Physician licensed to practice in Indiana. The address on file for DOUGLAS L STANFORD is WATERLOO IA 50701. This licensed professional license is not current. The license was granted 09/05/1978 and expired on 06/30/1995.

Indiana

Professional Licensing Agency

DOUGLAS L STANFORD
Physician
License number
01028769A
Date granted
09/05/1978
Date expires
06/30/1995
Class
Physician
Status
Expired Non-Renewable
Address
WATERLOO IA 50701
indianalicensing.org
ID 6110237
LAST UPDATED 2024-04-18 13:27:19 UTC

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