License holder summary

STANFORD, RIVIERA is a Medical - Perfusionist licensed to practice in Georgia. The address on file for STANFORD, RIVIERA is 2501 NORTH PATTERSON STREET, Valdosta 31602. This doctor license is not current. The license was granted 10/05/2012 and expired on 03/31/2014.

Georgia

Composite Medical Board

STANFORD, RIVIERA
Medical - Perfusionist
License number
000214
Date granted
10/05/2012
Date expires
03/31/2014
Class
Medical - Perfusionist
Status
Lapsed
Address
2501 NORTH PATTERSON STREET
georgiadoctors.net
ID 38113447
LAST UPDATED 2024-02-04 22:08:40 UTC

This website is unaffiliated with the Composite Medical Board. Please verify all information directly with the relevant official government authority.

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