Ohio
Board of Licensing
Michael Trace Stafford
Medical Board - 58.Do Training Certificate
License number
58.005639
Date granted
10/16/2014
Date expires
06/30/2016
Class
Medical Board - 58.Do Training Certificate
Status
Active (In Renewal)
Address
Grandview Medical Center, c/o General Surgery Dept, 405 W. Grand Avenue, Dayton, OH 45405
ohiolicensing.org
ID 29576404
LAST UPDATED 2024-03-22 23:08:13 UTC
LAST UPDATED 2024-03-22 23:08:13 UTC